临床小儿外科杂志2024，Vol.23Issue(5)：401-404,4.DOI:10.3760/cma.j.cn101785-202401058-001
先天性巨结肠根治手术中直肠肌鞘切除的现状与思考
Current status and reflections on rectal muscular cuff removal in Hirschsprung's disease
摘要
Abstract
Hirschsprung's disease(HSCR)is a common gastrointestinal disorder in children.Surgical resection of affected intestinal segment represents a primary therapeutic approach for HSCR.Various surgical techniques of Soave,Swenson,Duhamel and Rehbein are commonly employed.And preventing and minimizing postoperative complications have constituted a great challenge and a focal point for clinicians treating HSCR.Precise intraoperative handling of rectal muscle cuff helps to avoid such postoperative complications as constipa-tion,muscular cuff infection,fecal soiling and enterocolitis post-HSCR.Nonetheless,there is a lack of standard-ized guidelines regarding the extent of rectal muscle cuff resection Consequently,researchers worldwide have en-deavored to refine surgical techniques for mitigating postoperative complications.This review focused upon a comprehensive analysis of key considerations during rectal muscle cuff resection,drawing upon current global researches and extensive personal clinical experiences.关键词
先天性巨结肠/直肠肌鞘/外科手术/儿童Key words
Hirschsprung's Disease/Rectus Muscular Cuff/Surgical Procedures,Operative/Child引用本文复制引用
刘远梅,黄露,金祝..先天性巨结肠根治手术中直肠肌鞘切除的现状与思考[J].临床小儿外科杂志,2024,23(5):401-404,4.基金项目
国家自然科学基金(82060100) National Natural Science Foundation of China(82060100) （82060100）
