结直肠肛门外科&疝与腹壁外科是我院省级重点专科，成立于2009年4月20日，经过坚持不懈的努力，现已形成了具有自身特色和学术风格的专业，是鲁北地区第一个独立的结直肠、便秘、肛周常见疾病、腹壁和腹外疝专业外科。
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.
科室现有结直肠肛门外科和疝与腹壁外科两个病区，编制床位42张，年手术量2500余例。拥有功能完善的电子结肠镜诊疗室、多样化的肛周盆底功能检测治疗设备、完整的腹腔镜微创诊治设备。现有医生14人，护士25人。其中硕士研究生导师2人，主任医师1人、副主任医师1人，主治8人，博士1人，硕士研究生12人。
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.
特色技术介绍：
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.
2.免腹部辅助切口全腹腔镜直肠癌根治术（NOSES）：改术式，是在腹腔镜直肠癌根治术的基础上发展而来。它借助人体自然腔道用以取出肿瘤标本，这样就避免了在腹部为了取出标本而在做切口，从而进一步减轻请了病人的术后切口疼痛，缩短了住院天数，使腹腔镜的微创由势得到了最充分的发挥。其疗效肯定，优势明显，深受医务人员及患者的推荐！
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.腹腔镜疝修补术：该手术创口小，具有复发率低、恢复快、不易感染等特点，患者术后疼痛轻，术后2-3天可出院，可尽早恢复正常工作生活，复发率及术后并发症明显低于传统手术。
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.金陵术（腹腔镜结肠次全切除、升结肠直肠侧侧吻合术）：被称之为便秘的终极治疗手段，该术式近期、远期疗效满意。与目前已知的治疗便秘的术式相比，患者满意度及疗效均有明显提高。
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.直肠癌低位保肛手术：开展了经括约肌切除保肛术（ISR）和经前会阴超低位直肠前切除术，使保肛位置低到了极限。
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.痔上粘膜环形切除术（PPH）：安全、微创、恢复快，能较好保留肛管黏膜层和肛垫解剖结构，避免了术后肛门狭窄、肛门失禁等并发症的发生。
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.经肛内镜微创外科手术（TEM）：避免了大手术引起的并发症和腹部伤口，术后无痛，活动不受限，恢复快，可治疗早期结、直肠癌及各类良性息肉。
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.肛周盆底疾病的专业化规范化治疗单元：先进的设备和诊治理念、专业的医疗护理人员，采用“多专业一体化”诊疗模式，在降低费用的同时获得最佳的治疗。
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.
