Wulkan M L, Georgeson K E
Department of Surgery, University of Alabama School of Medicine and The Children's Hospital of Alabama, Birmingham, AL 35233, USA.
Semin Laparosc Surg. 1998 Mar;5(1):9-13. doi: 10.1177/155335069800500103.
Colon pull-through for Hirschsprung's disease has classically been performed in multiple stages. Open primary pull-through procedures offer the advantages of shorter overall hospital stay, decreased morbidity, and earlier intestinal continuity, and colostomy is avoided. This article describes the techniques used and results obtained in 24 consecutive patients who had a laparoscopic primary endorectal pull-through for Hirschsprung's disease. The patients ranged in age from a few days to 6 years. Operative times ranged from 1-(1/2) hours to 3-(1/2) hours. Perioperative complications were relatively minor. None of the patients had clinical enterocolitis after primary laparoscopic pull-through, and there were no anastomotic strictures. Average postoperative length of stay was 3-(1/2) days. Primary laparoscopic endorectal pull-through is a safe and effective alternative to open primary or multistage pull-through procedures.
先天性巨结肠的结肠拖出术传统上是分多个阶段进行的。开放式一期拖出手术具有总住院时间短、发病率降低以及肠道连续性恢复更早等优点，并且避免了结肠造口术。本文描述了连续24例接受腹腔镜下先天性巨结肠一期直肠内拖出术的患者所采用的技术及取得的结果。患者年龄从几天到6岁不等。手术时间从1.5小时到3.5小时不等。围手术期并发症相对较轻。一期腹腔镜拖出术后，没有患者发生临床性小肠结肠炎，也没有吻合口狭窄。术后平均住院时间为3.5天。一期腹腔镜直肠内拖出术是开放式一期或多阶段拖出手术的一种安全有效的替代方法。
