George C, Hammes M, Schwarz D
Children's Memorial Medical Center, Chicago, USA.
AORN J. 1995 Nov;62(5):727-8, 731-6. doi: 10.1016/s0001-2092(06)63524-2.
Constipation that is unresponsive to conventional remedies is the primary symptom of congenital megacolon (ie, Hirschsprung's disease). The cause of congenital megacolon is lack of ganglion cells in the bowel. The laparoscopic Swenson pull-through procedure involves removing the aganglionic segment of the colon, bringing the normally decompressed bowel through the pelvic floor, and anastomosing the bowel to the anorectal verge. Advantages of the laparoscopic approach include shorter lengths of hospital stay and fewer complications resulting from disruption of skin integrity.
对传统治疗方法无反应的便秘是先天性巨结肠（即赫希施普龙病）的主要症状。先天性巨结肠的病因是肠道中缺乏神经节细胞。腹腔镜Swenson拖出术包括切除结肠的无神经节段，将正常减压的肠道经盆底拖出，并将肠道与肛门直肠边缘吻合。腹腔镜手术方法的优点包括住院时间缩短以及因皮肤完整性破坏导致的并发症减少。
