一例无腹部辅助切口经阴道取出标本的腹腔镜结肠次全切除手术治疗慢传输型便秘的病例报道(附视频)  

Report of a case of laparoscopic subtotal colectomy for slow-transit constipation with transvaginal extraction of specimen without auxiliary incision

作　　者：王索 张晓进 许锋 王俊 侍新宇 孙金兵 何宋兵[2] Wang Suo;Zhang Xiaojin;Xu Feng;Wang Jun;Shi Xinyu;Sun Jinbing;He Songbing(Department of General Surgery,Affiliated Changshu Hospital of Soochow University,Changshu No.1 People's Hospital,Suzhou 215500,China;Department of General Surgery,the First Affiliated Hospital of Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学附属常熟医院,常熟市第一人民医院普外科,215500 [2]苏州大学附属第一医院普外科,215006

出　　处：《中华结直肠疾病电子杂志》2024年第1期83-88,共6页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：苏州市姑苏卫生人才计划项目(No.GSWS2022100);苏州市姑苏卫生重点人才项目(No.GSWS2020005);苏州市医工结合协同创新研究项目(No.SLJ2021007)。

摘　　要：便秘是患者常见临床就诊原因之一,随着人们生活方式及饮食结构的转变,其发病率逐年提高。对于严格内科治疗无效的顽固性慢传输型便秘,手术是有效的治疗手段。寻求一种安全、有效并且兼顾微创和美容要求的手术方式显得尤为迫切,本文报道1例苏州大学附属常熟医院开展的腹腔镜次全切除术结合经自然腔道取标本手术(NOSES)治疗慢传输型便秘的案例,并对该术式的可行性、优劣势以及技术细节进行讨论。Constipation is one of the common reasons for patients'clinical visits.and its incidence is increasing year by year with the changes in people's lifestyles and dietary structure.Surgery is an effective solution for persistent slow-transmitting constipation that is ineffective with strict medical treatment.It is particularly urgent to find a safe and effective surgical procedure that combines minimally invasive and cosmetic requirements.In this article,we report a case of laparoscopic subtotal resection combined with natural orifice specimen extraction surgery(NOSES)for the treatment of slow-transmitting constipation carried out in Affiliated Changshu Hospital of Soochow University,and discuss the feasibility,advantages and disadvantages,as well as the technical details of this surgical procedure.

关 键 词：便秘 慢传输型便秘 腹腔镜 结肠次全切除术 经自然腔道取标本手术(NOSES) 

分 类 号：R574.4[医药卫生—消化系统]