Rigamonti W, Falchetti D, Torri F, Alberti D, Huscher C, Caccia G
Clinica Chirurgica Pediatrica, Ospedale dei Bambini Umberto I di Brescia, Italia.
Pediatr Med Chir. 1994 Sep-Oct;16(5):499-501.
Swenson's procedure, first described in 1948 for Hirschsprung's disease, consists in resection of aganglionic intestine and distal colo-anal anastomosis provided a precise dissection of extra peritoneal rectum. Potential jeopardy of pelvic vessels and nerves stimulated alternative surgical techniques to prevent complications on bladder and genital function. We performed in laparoscopy Swenson's procedure after Toupet, taking advantage from closer view and magnification of this technique, in a 15 months girl. Laparoscopy simplified and made safer pelvic dissection and resulted in a better postoperative period and cosmetic outcome.
斯文森手术于1948年首次被描述用于治疗先天性巨结肠，该手术包括切除无神经节肠段并进行远端结肠-肛门吻合术，前提是要对腹膜外直肠进行精确解剖。盆腔血管和神经的潜在风险促使人们采用其他手术技术以预防膀胱和生殖功能方面的并发症。我们在一名15个月大的女童身上，在图佩手术之后进行了腹腔镜斯文森手术，利用了该技术更清晰的视野和放大效果。腹腔镜手术简化并使盆腔解剖更安全，术后恢复更好，外观效果更佳。
