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Use of Endo-GIA Staplers in Duhamel's Procedure for Infantile Total Colonic Aganglionosis: A Case Report
以重複內視鏡用自動縫合器應用於Duhamel氏手術治療全結腸無神經節症：一病例報告
摘要
本篇病例報告成功以重複內視鏡用自動縫合器應用於Duhamel氏手術，來治療嬰兒全結腸無神經節症。此男病嬰於出生3天後罹患腹脹以及未解胎便，經手術及多處切片後證實為全結腸無神經節症的患嬰後，做了迴腸造廔術。第二階段手術於病嬰4個月大時進行，由於嬰兒的腸道較小，以傳統之自動縫合器較為不便，所以我們使用了5枚內視鏡用自動縫合器，應用於Duhamel氏手術，來治療嬰兒全結腸無神經節。內視鏡用自動縫合器可以輕易的經由嬰兒的肛門置入，在嬰兒期全結腸無神經節症手術治療上是很好的選擇。本篇病例報告成功以重復內視鏡用自動縫合器應用於Duhamel氏手術來治療嬰兒全結腸無神經節症，並回顧文獻報告。
並列摘要
Endo-GIA were successfully used in Duhamel's procedure for the total colonic aganglionosis in infancy. The male baby suffered from abdominal distention and failure to pass meconium three days after delivery. Exploratory laparotomy was performed and leveling biopsy of the colon and distal ileum revealed that the baby was a victim of total colonic aganglionosis. The ileostomy and distal mucous fistula were formed firs t. The second stage of the operation was performed four months later with Duhamel's procedure. The size and assembling system of the standard GIA make difficult its employment for enterotomy and anastomosis of the ileum and colon; we used five Endo-GIA staplers (30mm). This device serves as a good alternative on account of its small caliber that could easily pass the baby's tiny anal canal. With this case description of successful use of Endo-GIA in Duhamel's procedure for total colonic aganglionosis in early infancy, we review the previous literature.
延伸閱讀
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