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

doi:10.3877/cma.j.issn.2095-3224.2018.01.016

Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2018, Vol. 07 ›› Issue (01): 74-78. doi: 10.3877/cma.j.issn.2095-3224.2018.01.016

Special Issue: ；；

• Experience Sharing • Previous Articles Next Articles

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

Dong Tang¹, Wei Wang¹, Jie Wang¹, Yuqin Huang¹, Huaicheng Zhou¹, Youquan Shi¹, Ying Tian², Yongdie Lu², Shengnan Zou², Yuji Chen², Xiaoming Sun², Mengyue Xu², Pengxiang Sun², Daorong Wang¹^,^†(), Ning Li³

^1. Department of General Surgery, Institute of General Surgery, Clinical Medical College, Yangzhou University (Subei People′s Hospital of Jiangsu Province), Yangzhou 225001, China
^2. Clinical Medicine, Medical College of Yangzhou University, Yangzhou 225001, China
^3. Research Institute of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China

Received:2017-03-19 Online:2018-02-25 Published:2018-02-25
Contact: Daorong Wang
About author:
Corresponding author: Wang Daorong, Email: daorong666@sina.com

Abstract

Abstract:

Objective

To evaluate the efficacy and safety of NOSES Jinling procedure in the treatment of refractory constipation.

Methods

Two 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.

Results

Two 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 fluid 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.

Key words: Constipation, NOSES, Jinling procedure, Refractory constipation, Chronic constipation

Dong Tang, Wei Wang, Jie Wang, Yuqin Huang, Huaicheng Zhou, Youquan Shi, Ying Tian, Yongdie Lu, Shengnan Zou, Yuji Chen, Xiaoming Sun, Mengyue Xu, Pengxiang Sun, Daorong Wang, Ning Li. Two cases report of NOSES Jinling procedure in the treatment of refractory constipation[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2018, 07(01): 74-78.

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Figures/Tables 2

References 14

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