Restoration of Continuity of the Colon after Hartman's Operation

George Bakradze*, Alexander Tsalugelashvili*, Ilia Bakradze**

Have been investigated a total of 36 patients who underwent restoration of colon continuity during the period from 7 month to 3 year after the colorectal cancer resection by the Hartman's method. Of the 22 patients (61,2%) with standard Hartman's operation, in 6 cases (16,6%), the basic operation was combined with resection of adjacent and distant organs. For exclusion of metastases or recurrences, preoperative complex examination of patients were performed. The colon continuity was restored in 22 cases (61,2%) via the descending and transverse-rectal anastomosis using the manual method and compressive suturing AKA-2.The low anastomosis in pelvis was formed in 5 patients (13,8%), 3 patients underwent the Diuamel's operation and in 7 cases (19,4%) the rectal abdominal-anal resection with descent of the colon in anal canal was performed. 2 patients (5,5%) died and 34 (94,4%) got back to their activities.

Keywords:  cancer, Hartman's operation, colon, resection, restorative surgery, anastomosis, complication