Sauer H, Fasching G
Department of Pediatric Surgery, University of Graz Medical School, Austria.
J Pediatr Surg. 1993 Dec;28(12):1640-3. doi: 10.1016/0022-3468(93)90128-8.
A new surgical technique for the treatment of total colonic aganglionosis is described. Preservation of the right colon and the ileocecal valve is possible by performing an end-to-back anastomosis between a prececal short ileum segment and the uneffected ileum, and by creating a side-to-side anastomosis between an isolated ileal loop and the right colon. The ileorectal anastomosis is performed with a curved EEA 21 circular stapler (USSC, Norwalk, CT). After a neonatal ileostomy, the operation is performed as a one-stage procedure. The advantage of preserving the right colon and the ileocecal valve is discussed.
描述了一种治疗全结肠无神经节症的新手术技术。通过在盲肠前短回肠段与未受影响的回肠之间进行端对背吻合，以及在孤立的回肠袢与右结肠之间进行侧对侧吻合，可以保留右结肠和回盲瓣。使用弯曲的EEA 21圆形吻合器（美国外科公司，诺沃克，康涅狄格州）进行回直肠吻合。新生儿回肠造口术后，该手术作为一期手术进行。讨论了保留右结肠和回盲瓣的优点。
