Narasimharao K L, Pathak I C, Mitra S K
Aust N Z J Surg. 1983 Dec;53(6):557-9. doi: 10.1111/j.1445-2197.1983.tb02507.x.
Two babies with total colonic aganglionosis treated by a modified Martin-Duhamel procedure are described. Ileostomy, long side-to-side ileocolic anastomosis and Duhamel's pull-through were the sequence of steps in this staged management. Neonatal ileostomy followed by ileocoloplasty proximal to the ileostomy facilitates home management of the new born patient who then produces well formed stools. This approach avoids neonatal pull-through and obviates the need for parenteral alimentation.
本文描述了两名采用改良Martin-Duhamel手术治疗的全结肠无神经节症婴儿。分期治疗步骤依次为回肠造口术、长侧侧回结肠吻合术和Duhamel拖出术。新生儿期先行回肠造口术，然后在造口近端行回结肠成形术，便于新生患儿在家中护理，患儿随后可排出成形粪便。这种方法避免了新生儿期的拖出术，也无需胃肠外营养。
