先天性巨结肠 (Hirschsprung’sdisease ,HD)是小儿常见的消化道畸形之一。根治性手术方法有多种 ,但大多数术式需要开腹切除病变肠管 ,存在并发症多、术后恢复慢等缺点。我院 2 0 0 2— 2 0 0 4年采用不开腹、经肛门斜形吻合的微创根治术治疗先天性巨结肠 2 0例 ,取得满意效果 Hirschsprung’s disease (HD) is one of the common gastrointestinal malformations in children. There are many radical surgical methods, but most of the surgical procedures require an open abdominal resection of the bowel, there are complications, slow recovery and other shortcomings. In our hospital from 2000 to 2004, 20 cases of Hirschsprung’s disease were treated with minimally invasive radical anastomosis without anastomosis and satisfactory results were obtained