Total Colonic Aganglionosis (TCA)に対するMartin手術症例の検討

概要

論文の詳細を見る
Martin's operation is a standard procedure for total colonic aganglinonsis (TCA) . Recently several complications after Martin's operation have been reported. Four patients who were operated on by original and modified Martin's operation were studied on postoperative complications and postoperative course. One case was Hirschsorune disease with colonic atresia. The other three cases were TCA. Original Martin's operation was performed in case 1 and 2. Modified Martin's operation was done on case 3 and 4. Early postoperative complications were anastmotic leakage and ileus due to adhesion. Most sereous complication was postoperative enteritis. Such complications were successfully managed by irrigation and finger bougie. In general postoperative course were satisfactry. In conclusion, though the results of Martin's operation are satisfactory, long term follow-up and modifications of the procedure are required.
日本小児外科学会の論文
1990-06-20