Laberge J M, Adolph V R, Flageole H, Guttman F M
Division of Pediatric General Surgery, Montreal Children's Hospital, McGill University, Quebec, Canada.
Eur J Pediatr Surg. 1996 Dec;6(6):362-3. doi: 10.1055/s-2008-1071016.
The endorectal pull-through procedure described by Soave and subsequently modified by Boley to include primary coloanal anastomosis is one of the most commonly performed procedures for Hirschsprung's disease. The Boley modification carries a 5-10% risk of dehiscence of the colo-anal anastomosis. This is generally treated with proximal colonic diversion and delayed revision of the pull-through. We report the use of the original Soave procedure to treat this complication.
索阿韦所描述的经直肠拖出术，随后由博利进行改良，包括一期结肠肛管吻合术，是治疗先天性巨结肠最常用的手术方法之一。博利改良术式的结肠肛管吻合口裂开风险为5%-10%。这种情况一般采用近端结肠造口术治疗，并延迟拖出术的修复。我们报告了使用原始索阿韦术式治疗这一并发症的情况。
