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.
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.
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
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
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.