NOSES金陵术治疗顽固性便秘附二例报告  

Two cases report of NOSES Jinling procedure in the treatment of refractory constipation

作　　者：汤东 王伟[1] 王杰 黄玉琴 周怀成 史友权 田滢[2] 陆永蝶 邹胜男[2] 陈宇吉 孙晓明[2] 徐梦月[2] 孙鹏翔[2] 王道荣 李宁 Tang Dong;Wang Wei;Wang Jie;Huang Yuqin;Zhou Huaicheng;Shi Youquan;Tian Ying;Lu Yongdie;Zou Shengnan;Chen Yuji;Sun Xiaoming;Xu Mengyue;Sun Pengxiang;Wang Daorong;Li Ning(Department of General Surgery, Institute of General Surgery, Clinical Medical College, Yangzhou University （Subei People′s Hospital of Jiangsu Province）, Yangzhou 225001, China;Clinical Medicine, Medical College of Yangzhou University, Yangzhou 225001, China;Research Institute of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China)

机构地区：[1]扬州大学临床医学院(江苏省苏北人民医院)普外科、普通外科研究所,225001 [2]扬州大学医学院临床医学系,225001 [3]南京大学医学院临床学院(南京军区南京总医院全军普通外科研究所)普通外科研究所,210002

出　　处：《中华结直肠疾病电子杂志》2018年第1期74-78,共5页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：2013年第一批江苏省资助招收博士后科研项目

摘　　要：目的对NOSES金陵术治疗顽固性便秘进行尝试和初步评价。方法对2016年江苏省苏北人民医院胃肠外科收治的2例顽固性便秘患者使用腹腔镜下NOSES金陵术进行手术治疗并分析其疗效。结果 2例患者顺利实施了NOSES金陵术,手术时间分别为250 min和385 min(含复杂肠粘连松解时间),术中出血量分别为20 ml和50 ml,术后2~3天排气排便并进食流质,术后第10天顺利出院,大便次数稳定在2~5次/天,无手术相关并发症发生。结论 NOSES金陵术治疗顽固性便秘美容效果显著、创伤小、恢复快,便秘症状缓解明显,值得临床进一步开展和研究。ObjectiveTo evaluate the efficacy and safety of NOSES Jinling procedure in the treatment of refractory constipation. MethodsTwo patients with refractory constipation in the Department of Gastrointestinal Surgery of Subei People′s Hospital were treated with laparoscopic NOSES Jinling procedure in the year of 2016. ResultsTwo patients were successfully implemented NOSES Jinling procedure, the operation time was 250 min and 385 min （with time of release complex intestinal adhesion）, and the intraoperative bleeding was 20 ml and 50 ml respectively. The patients had exhaust and defecation 2-3 days after the operation, then feed ？uid and discharged with no complications ten days after the operation with the stabilized stool frequency of 2-5 times per day. Conclusion The treatment of refractory constipation with laparoscopic NOSES Jinling procedure has obvious cosmetic effect, less trauma, faster recovery, and obvious relief of constipation symptoms, which is worthy of further clinical research and development.

关 键 词：便秘 NOSES 金陵术 顽固性便秘 慢性便秘 

分 类 号：R656.9[医药卫生—外科学]