Clinical Outcome of Jinling Procedure for Refractory Constipation with Previous Failures of Surgical Interventions        JIANG Jun, DING Wei-wei, WANG Lin, et al. Research Institute of General Surgery, Nanjing General Hospital of Nanjing Command, PLA, Nanjing University School of Medicine, Nanjing 210002, China.
Corresponding author:LI Ning, E-mail: liningrigs@163.com
Abstract    Objective    This study aims to exam the efficiency and safety of Jinling procedure for refractory mixed constipation after previous several surgical failures. Methods    The patients of refractory mixed constipation receiving Jinling procedure between 2000 Jan and 2010 Jun after previous several surgical failures were included.  Results    407 refractory mixed constipation patients received Jinling procedure during the study period. This study included 135 refractory mixed constipation patients receiving Jinling procedure with previous several surgical failures. Of all the 135 patients, 40.7% previously received pelvic surgeries (average 2.1) and 59.3% received open abdominal surgeries (average 1.1). The satisfactory rate at the 1-, 6- and 12-month follow-up was 88.9%、92.7% and 95.0%, respectively. Conclusions    Jinling procedure is a surgical innovation for refractory mixed constipation, which can correct the coexistence of slow transition and obstructive outlet syndrome. Jinling procedure is regarded as one of the effective treatments for refractory mixed constipation with previous several surgical failures.