| NOSES金陵术治疗顽固性便秘附二例报告 |
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| 作者姓名： | 汤东 王伟 王杰 黄玉琴 周怀成 史友权 田滢 陆永蝶 邹胜男 陈宇吉 孙晓明 徐梦月 孙鹏翔 王道荣 李宁 |
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| 作者单位： | 1. 225001 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
2. 225001 扬州大学医学院临床医学系
3. 210002 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 |
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| 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。
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| 关 键 词： | 便秘 NOSES 金陵术 顽固性便秘 慢性便秘 |
| 收稿时间： | 2017-03-19 |
Two cases report of NOSES Jinling procedure in the treatment of refractory constipation |
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| Authors: | 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 |
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| Institution: | 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 |
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| Abstract: | 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 fluid and discharged with no complications ten days after the operation with the stabilized stool frequency of 2~5 times per day.
ConclusionThe 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. |
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| Keywords: | Constipation NOSES Jinling procedure Refractory constipation Chronic constipation |
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