Orr J D, Scobie W G
J Pediatr Surg. 1979 Feb;14(1):58-61. doi: 10.1016/s0022-3468(79)80577-1.
During the period October 1974 to November 1977, six children with Hirschsprung's disease have undergone anorectal myectomy followed by anterior resection. The procedure was carried out in a group of older children who presented late, where the aganglionic segment was thought to be confined to the rectum alone. In these cases, when the initial myectomy specimen revealed total aganglionosis and serial biopsies revealed that the aganglionic segment extended beyond the reach of myectomy, it was decided to carry out anterior resection. The rationale, methods, and results are discussed. It is suggested that this type of procedure is most suitable to those older patients who are diagnosed late, with disease located in the rectum.
在1974年10月至1977年11月期间，6例患有先天性巨结肠症的儿童接受了肛门直肠肌切除术，随后进行了前切除术。该手术是在一组就诊较晚的大龄儿童中进行的，这些儿童的无神经节段被认为仅局限于直肠。在这些病例中，当最初的肌切除标本显示完全无神经节细胞症，且连续活检显示无神经节段超出了肌切除术的范围时，决定进行前切除术。本文讨论了其基本原理、方法和结果。建议这种手术类型最适合那些就诊较晚、病变位于直肠的大龄患者。
