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目的 报道不开腹、不用腹腔镜 ,在微创操作下实现对小婴儿先天性巨结肠的根治术式。方法 采用经肛门斜行切断直肠 ,处理直肠、结肠系膜 ,拖出病变肠管并予以切除 ,结、直肠 I期斜面吻合的方法 ,治疗普通型巨结肠 5例。结果 所有病例手术获得成功。随访 1~ 8个月 ,未发生不良并发症。结论 经肛门 I期拖出根治术治疗小婴儿普通型先天性巨结肠 ,手术创伤小、操作简单、近期疗效好
The purpose of the report is not laparotomy, without laparoscopy, minimally invasive operation to achieve the cure of small Hirschsprung’s disease. Methods Transrectal resection of the rectum through the anus was performed, the rectum and the mesocolon were treated, and the diseased bowel was excised and resected. The anastomosis of stage I and rectum I was performed to treat 5 cases of common megacolon. Results All cases surgeries were successful. Follow-up 1 to 8 months, no adverse complications occurred. Conclusions The delayed radical anastomosis for the treatment of the common type Hirschsprung’s disease in small infants has the advantages of small operation trauma, simple operation and good curative effect in the near future