Natural Orifice Specimen Extraction Surgeries approach for laparoscopic Jinling Procedure  in refractory mixed constipation (with video)

Abstract As science and technology have advanced, the field of surgery is developing in the direction of “minimally invasive” and “noninvasive” procedures. Natural orifice specimen extraction surgery has emerged as a rising star in the field of minimally invasive surgery. It has increased rapidly, and it has become a hot topic inrecent years. Natural orifice specimen extraction surgery has shown advantages in alleviating postoperative pain,improving bowel movements, providing a cosmetic effect, and improving psychological state without adversely affecting cancer outcomes. This technique has been reported more in colorectal tumors, but less in laparoscopic total colectomy for refractory mixed constipation. The treatment of intractable constipation is still a difficult problem for colorectal surgeons.Jinling procedure is considered to be an ideal method. Jinling procedure with Natural orifice specimen extraction is a new surgery procedure, and intracavitary anastomosis were used which can reduce postoperative wound pain and accelerate patients' recovery.This surgical video will completely introduce the whole surgical procedure.