Applebaum H, Richardson R J, Wilkinson G A, Warden M J
Division of Pediatric Surgery, Southern California Permanente Medical Group, Los Angeles 90027.
J Pediatr Surg. 1988 Jan;23(1 Pt 2):49-51. doi: 10.1016/s0022-3468(88)80539-6.
The authors have utilized a technique recently described by Boley as the corrective procedure in two patients with complex long segment aganglionosis. The one-stage operation combines a right colon onlay patch for enhanced absorptive and reservoir purposes with an ileoendorectal pull-through. Both patients had only 3 to 4 stools per day by the end of the first postoperative month. The obligatory period of intestinal adaptation needed to achieve an acceptable stooling pattern is significantly reduced in comparison with results obtained with other commonly used procedures.
作者采用了一种最近由博利描述的技术，作为两名复杂长节段无神经节症患者的矫正手术。一期手术将用于增强吸收和储存功能的右结肠覆盖补片与回肠直肠拖出术相结合。术后第一个月末，两名患者每天排便仅3至4次。与其他常用手术的结果相比，实现可接受排便模式所需的肠道适应期显著缩短。
