A Modification of the Duhamel-Grob-Martin Operation for the Treatment of Hirschsprung's Disease (Preservation of the Rectum with Partial Internal Sphincterectomy)

Duhamel-Grob-Martin術式之改變法對Hirschsprung氏病的治療（保存直腸與肛門內括約筋部分切除）

洪文宗(Wen-Tsung Hung)

《Acta Paediatrica Sinica》 10卷3期 (1969/09) Pp. 93-102

摘要

從1965年起，著者改變Duhamel-Grob-Martin術式治療先天性巨大結腸症，此方法為切除擴大的結腸部分，然後將剩下的結腸吻合於直腸，同時切除一部份肛門內括約肌，本文並討論此Duhamel-Grob-Martin術式之改變法之優點並報告術後長期觀察之結果。接受上述之術式者共有17症例。經過2個月至5年之術後觀察，有一例術後六個月死於肺炎及一例術後四個月死於癒著性腸閉塞，並有二個症例因結腸切除不足而引起再發現象之外，十三症例之術後經過均良好並無發生殘存直腸之膨大，此結果證明這開刀方法能改善Duhamel-Grob-Martin法之缺點。

並列摘要

The purpose of this communication is to describe a modification of the Duhamel-Grob-Martin operation for Hirschsprung's disease, which I have developed since 1965, and to present a follow-up study of seventeen patients treated with this technique. The operation consists of resection of the dilated and narrowed portions of the colon and end to side anastomosis of the proximal colon to the rectum (Duhamel-Grob-Martin procedure) with partial internal sphincterectomy. The choice of partial internal sphincterectomy was prompted by Orvar Swenson's paper on the treatment of Hirschsprung's disease.