McCready R A, Beart R W
Mayo Clin Proc. 1979 Dec;54(12):779-83.
Results of the surgical treatment of idiopathic megacolon with incapacitating constipation in 23 patients are reviewed. The Swenson endorectal pull-through procedure, although it gave satisfactory results, was associated with high morbidity and resulted in the only death in this series. Anterior resection gave good results in six of eight patients. This procedure should give good results when the dilatation as seen on barium enema studies is confined to the rectosigmoid. However, for patients who have more extensive dilatation of the colon, extensive left hemicolectomy or total abdominal colectomy should be strongly considered, for these procedures have been associated with uniformly good results and little morbidity. There is little to recommend bilateral lumbar sympathectomy.
回顾了23例患有致残性便秘的特发性巨结肠患者的外科治疗结果。斯文森经直肠拖出术虽然取得了满意的效果，但发病率高，且导致了本系列中的唯一死亡病例。八例患者中有六例行前切除术效果良好。当钡剂灌肠检查显示扩张仅限于直肠乙状结肠时，该手术应能取得良好效果。然而，对于结肠扩张范围更广的患者，应强烈考虑行广泛左半结肠切除术或全腹结肠切除术，因为这些手术一直以来效果良好且发病率低。双侧腰交感神经切除术几乎没有可取之处。
