Comparison between open and laparoscopic reversal of Hartmann’s procedure for diverticulitis

Table 1 Patients’ characteristics

	OHR(n = 18)	LHR(n = 28)	P value
Age (yr)	61.4 ± 12.8	54.9 ± 15.4	0.1
Male/female ratio	5/13	12/16	0.3
Body masse index (kg/m2)	24.8 ± 2.9	24.1 ± 3.1	0.4
ASA score			0.06
I	4 (22.2)	16 (57.1)
II	12 (66.7)	10 (35.7)
III	2 (11.1)	2 (7.1)
Comorbidity	10 (55.6)	10 (35.7)	0.2
Diabetes	2 (11.1)	3 (10.7)
Cardiovascular disease	9 (50)	9 (32.1)
Pulmonary disease	4 (22.2)	2 (7.1)
Hinchey Score at HP			0.5
III	14 (77.7)	20 (71.4)
IV	4 (22.3)	8 (28.6)
Episodes of acute diverticulitis			0.2
before HP
None	13 (72.2)	16 (57.1)
One	5 (27.8)	8 (28.6)
Two or more	0 (0)	4 (14.3)
Mean time from HP to reversal (d)	143.7 ± 64.8	129.1 ± 62.8	0.4

Data are presented as means ± SD or n (%). OHR: Open Hartmann’s reversal procedure; LHR: Laparoscopic Hartmann’s reversal procedure; ASA: American Society of Anesthesiology; HP: Hartmann’s procedure.

Table 2 Operative variables

	OHR (n = 18)	LHR (n = 28)	P value
Extent of mobilization			0.5
Splenic flexure	16 (88.9)	27 (96.4)
Transverse	2 (11.1)	1 (3.6)
Stapled end-to-end anastomosis N° (mm)			0.07
N° 28	0 (0)	2 (7.1)
N° 29	18 (100)	21 (75)
N° 31	0 (0)	5 (17.9)
Operation time (min)	235.8 ± 43.6	171.1 ± 27.4	0.001
Estimated blood loss (mL)	301.1 ± 54.6	225 ± 38.6	0.001

Data are presented as means ± SD or n (%). OHR: Open Hartmann’s reversal procedure; LHR: Laparoscopic Hartmann’s reversal procedure.

Table 3 Post-operative variables

	OHR (n = 18)	LHR (n = 28)	P value
Time to Flatus (d)	4.3 ± 1.7	3 ± 1.3	0.006
Time to Resumption to regular diet (d)	5.5 ± 1.7	3.9 ± 1.2	0.001
Length of hospital stay (d)	11.2 ± 5.1	6.7 ± 1.9	<0.001
1 mo complication rate	6 (33.3)	1 (3.6)	0.004
Wound infection	6 (33.3)	0
Hemorrhage	0	1 (3.6)
12 mo complication rate	5 (27.8)	3 (10.7)	0.03
Midline incisional hernia	4 (22.2)	0
Incisional hernia of the previous colostomy	1 (5.6)	3 (10.7)

Data are presented as means ± SD or n (%). OHR: Open Hartmann’s reversal procedure; LHR: Laparoscopic Hartmann’s reversal procedure.