Oncological outcomes of planned and unplanned low Hartmann’s procedure and restorative low anterior resection for rectal cancer: a population-based cross-sectional study - Takeaways - MDSpire

Oncological outcomes of planned and unplanned low Hartmann’s procedure and restorative low anterior resection for rectal cancer: a population-based cross-sectional study

  • By

  • E. G. M. van Geffen

  • F. S. Verheij

  • S. M. J. A. Hazen

  • T. C. Sluckin

  • E. C. J. Consten

  • J.-W. T. Dekker

  • J. Nederend

  • K. C. M. J. Peeters

  • J. H. W. de Wilt

  • S. van Dieren

  • R. Hompes

  • J. B. Tuynman

  • C. A. M. Marijnen

  • P. J. Tanis

  • M. Kusters

  • November 23, 2025

  • 0 min

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  • 1

    The study compares oncological outcomes of planned and unplanned low Hartmann’s procedure (low-HP) and restorative low anterior resection (rLAR) for rectal cancer.

  • 2

    Low-HP is associated with worse oncological outcomes, including a 32% circumferential margin positivity rate and a 15% local recurrence rate at three years.

  • 3

    Factors influencing the decision for low-HP include anticipated poor functional outcomes, intraoperative difficulties, and patient comorbidities.

  • 4

    Data were collected from 67 Dutch hospitals for patients undergoing curative resection for primary rectal cancer in 2016, focusing on various surgical outcomes.

  • 5

    The study highlights a trend of decreasing low-HP procedures in the Netherlands, attributed to sub-specialization and auditing practices.

Original Source(s)

Oncological outcomes of planned and unplanned low Hartmann’s procedure and restorative low anterior resection for rectal cancer: a population-based cross-sectional study

  • by E. G. M. van Geffen, F. S. Verheij, S. M. J. A. Hazen, T. C. Sluckin, E. C. J. Consten, J.-W. T. Dekker, J. Nederend, K. C. M. J. Peeters, J. H. W. de Wilt, S. van Dieren, R. Hompes, J. B. Tuynman, C. A. M. Marijnen, P. J. Tanis, M. Kusters

  • November 23, 2025

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