Introduction of Coloproctology (Hernia) deartment of  Binzhou Medical University Hospital


Founded on April 20th, 2009, as a provincial key special department, Coloproctology (Hernia) Department has developed into a professional branch with its own distinctive features and academic style, which becomes the first independent specialized surgical department in northern part of Shandong for the treatment of diseases of colorectum, constipation, crissum, abdominal wall and abdominal external hernia.


Currently, the department has two divisions of coloproctology and hernia, 42 authorized beds and its annual surgical operations can reach over 2500. It is equipped with a fully-functional consulting room of electronic colonoscopy, a variety of devices for detection and treatment of perianal diseases and pelvic floor dysfunction, a complete set of equipment for laparoscopic-assisted minimal invasive surgery. Now it has a total of 14 doctors and 25 nurses, among which there are 2 supervisors of master students, 1 chief physician, 1 associate chief physician, 8 attending physicians. 2 of these doctors have obtained doctor’s degree and the rest have got master’s degree.

目前本科室以快速康复医学及微创技术为发展重点,在鲁北地区最早开展腹腔镜结直肠癌根治术和腹腔镜疝修补术,已成为黄河三角洲最大的结直肠肿瘤及疝微创治疗中心。近年来我科着力发展肛周盆底疾病的多样化、规范化诊治,围绕腹腔镜结直肠癌根治术、疝的微创治疗、顽固性便秘、肛周常见疾病及盆底功能障碍五大方向开展临床与基础研究。目前引进了具有国际先进水平的高清腹腔镜、电子结肠镜、DJS-B型结肠水疗仪、生物刺激反馈仪和ZZ-II 500B型肛肠综合治疗仪,使我科具备了完备的微创诊疗手段,成为省内首屈一指的结直肠、疝、便秘及肛周疾病诊疗中心。

At present, our department is mainly focused on the development of fast track surgery and minimally invasive surgery, and has become the first one to lead the northern part of Shandong to perform the laparoscopic-assisted radical resection for colorectal cancer and laparoscopic hernia repair, all of which enable the department to be the largest therapeutic centre of colorectal cancer and minimally invasive surgery of hernia in Yellow River Delta. For recent years, we have actively emphasized on the development of diversified and standardized treatment of perianal diseases and pelvic floor dysfunction, and we have carried out clinical and basic researches on the five major fields of laparoscopic-assisted radical resection for colorectal cancer, minimally invasive treatment of hernia, intractable constipation, perianal diseases and pelvic floor dysfunction. The introduction of internationally advanced high-definition laparoscope, high-definition electronic colonoscopy, DJS-B colon hydrotherapy, MyoTrac and ZZ-II 500 HCPT has enhanced our comprehensive capability of minimally invasive medical treatment, which turns our department into a top therapeutic centre for the treatment of colorectal cancer and diseases of hernia, constipation and crissum.


1.      腹腔镜结直肠癌根治术:目前该术式被认为是结直肠癌根治术的金标准。我科常规开展该项手术,目前已成功完成腹腔镜结直肠癌根治术1000余例,年手术量300例左右。其在根治性切除、保留肛门功能、保护膀胱功能和性功能方面与开放手术无明显差异,但在术后恢复时间、患者疼痛评分、切口感染率、失血量等方面明显优于开放手术。尤其目前我科以快速康复医学为理论指导,术前均不常规插胃管、不应用泻剂做胃肠道准备,术后24小时进流质饮食,减轻了术前应激,加速了术后康复速度,平均住院时间缩减至8.3天。

Introduction of featured techniques:

1. Laparoscopic-assisted radical resection for colorectal cancer: Currently, it is regarded as the gold standard of resection of colorectal cancer. We have routinely carried out this operation in our department, and so far, more than 1000 cases are successfully performed with laparoscopic-assisted radical resection for colorectal cancer and our annual surgical operations can be about 300. This kind of surgery has no significant difference from open surgery in radical excision, preservation of sphincter, protection of bladder function and sexual function, yet it is obviously more advantageous in postoperative recovery time, visual analog scale pain scores, the infection rate of surgical incision, blood loss volume and other aspects. In particular, our department is now taking the fast track recovery as theoretical guidance. So we have given up the conventional preoperative practices of gastric tube insertion and gastrointestinal preparation by purgative prescription for the patients and have advocated some liquid diet in 24 hours after surgery, which eases the patient’s preoperative stress reaction, enhances postoperative recovery and even shortens the average hospital stay to 8.3 days.


Laparoscopic radical resection of rectal cancer (NOSES) without abdominal auxiliary incision: the modified procedure was developed on the basis of laparoscopic radical resection of rectal cancer. It uses the natural cavity of the human body to remove the tumor specimen, thus avoiding the incision in the abdomen in order to remove the specimen, thus further alleviated the patient's postoperative incision pain, shortened the number of days in hospital, and made the minimally invasive of the laparoscope fully exerted by the potential. Its curative effect is affirmative and its advantage is obvious. It is recommended by medical staff and patients.


2. Laparoscopic hernia repair: Together with characteristics of low recurrence rate, fast recovery speed, low infection rate and less postoperative pain, the surgical incision after this kind of surgery is also small. The patient can be discharged in 2 to 3 days after operation, and can resume a normal and productive life as early as possible. Besides, the recurrence rate of postoperative complications after this surgery is significantly lower than that after conventional operation.


3. Jinling procedure (Laparoscopic-assisted subtotal colectomy, Boley surgery): It is recognized as the ultimate treatment for constipation. The short-term and long-term therapeutic effects of this procedure are satisfactory. Compared with the existing procedures for the treatment of constipation, both the patient satisfaction and therapeutic effect are obviously increased.


4. Sphincter saving resection of low rectal cancer: ISR and APPEAR are performed so as to lower the position for sphincter-saving surgery to the minimum.


5. PPH: With its characteristics of safety, minimal invasion, fast recovery speed, this surgery can better preserve the mucosa of the anal canal, anatomical structure of haemorrhoidal zone and can avoid the complications like stricture of anus and fecal incontinence.


6. TEM: It can avoid the complications after major surgeries and abdominal incision. The patient suffers no pain after operation, and there’s no limitation for the patient’s postoperative activities. The recovery speed is fast, and this surgery can cure early colorectal carcinoma and different kinds of benign polyp.


7. Unit of professional and standardized treatment of perianal diseases and pelvic floor dysfunction: With advanced equipment and treatment concept, professional medical care personnel, this unit has adopted a treatment mode of “integration of multi-specialty cooperation” which is favorable for patients to receive best treatment at a lower cost.

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