直肠和乙状结肠闭锁：经肛门入路。

Rectal and sigmoid atresia: transanal approach.

机构信息

Department of Pediatric Surgery, Children's Hospital, Tunis El Manar University, Place Bab Saadoune, 1007 Tunis, Tunisia.

出版信息

J Pediatr Surg. 2012 Jun;47(6):e41-4. doi: 10.1016/j.jpedsurg.2012.02.025.

DOI:10.1016/j.jpedsurg.2012.02.025

PMID:22703823

Abstract

We report 2 patients with rectal and low sigmoid atresia operated on, respectively, at 6 and 3 months of age using the transanal approach, similar to the transanal technique for Hirschsprung disease, after exploratory laparotomy with colostomy at birth. There were no intraoperative or postoperative complications after a follow-up time of 2 years. After closure of the colostomy, both patients had no fecal incontinence. The transanal approach is a safe and effective technique in the management of rectal and sigmoid atresia.

摘要

我们报告了 2 例直肠和低位乙状结肠闭锁的患儿，他们分别在出生时进行了剖腹探查和结肠造口术，然后在 6 个月和 3 个月时采用经肛门入路（类似于先天性巨结肠的经肛门手术）进行了手术治疗。在随访 2 年期间，没有出现术中或术后并发症。结肠造口关闭后，两名患者均无粪便失禁。经肛门入路是治疗直肠和乙状结肠闭锁的一种安全有效的技术。