Background:
Up to 15% of colorectal cancer (CRC) patients inform with obstructive or cut tumours, and order crisis surgery. The Hartmann’s machine (HP) provides the possibleness to attain a potentially sanative (R0) resection, patch minimizing preoperative trauma in poor-risk patients. The intend of this think was to set the preoperative (operative mortality), and medicine (long-term activity after sanative resection) results of crisis HP for obstructive or cut left-sided CRC.
Methods:
A retro analyse of 50 patients who underwent crisis HP for perforated/obstructive CRC in our hospital between 1995 and 2006.
Results:
Median geezerhood of patients was 75 (range 22-95) eld and the indications for HP were impediment (32) and perforation (18 patients). Operative mortality and rate were 8% and 26% respectively. 35 patients (70%) were operated with a sanative intent; in this group, coverall 1-, 3- and 5-year activity rates were 80%, 54% and 40%. In univariate analysis, the proximity of lymph convexity metastases was related with slummy 5-year activity (62% [Stage II] vs. 27% [Stage III], log-rank test, p=0.02). Eleven patients (22%) had their activeness backward with a norm retard of 225 (range 94-390) days. In this subgroup, digit patients died from extreme metastases, but there were no instances of loco-regional recurrence.
Conclusion:
Hartmann’s activeness relic a beatific choice to apologise symptoms in 30% of patients with left-sided CRC who are not candidates to a sanative resection. For those who hit a sanative resection, the medicine outcome is acceptable, especially initiate II patients, who materialize to goodness the most from this preoperative strategy.

Tags: Cancer, Risk, surgery, Survival Rate