作者报告1991年1月～1995年6月期间为直肠癌患者施行的保留肛门手术24例.肠道重建用拖出吻合或器械吻合法.随访时间为3～54个月.本组无手术死亡和吻合口漏.除2例于随访期间死于其他原因外,余无局部复发和远处转移.肛门括约肌功能在术后6个月基本恢复正常,大便成形,能自控.我们认为,癌肿距肛缘>5cm,Dukes’分期为A、B、C、期,术中无周围脏器浸润或远处转移的中低位直肠癌,均可选用保留肛门手术.术中正确操作能降低并发症的发生. The authors reported 24 cases of rectal cancer surgery performed for patients with rectal cancer from January 1991 to June 1995. Analgesic or anastomosis was used for intestinal reconstruction. The follow-up time was 3 to 54 months. There was no operative death in this group. And anastomotic leakage. Except for 2 cases died of other reasons during the follow-up period, there was no local recurrence and distant metastasis. The anal sphincter function returned to normal at 6 months after operation, and the stool formed and could be controlled. We believe that cancer From the anal margin> 5cm, Dukes’ staging for A, B, C, period, surgery without peripheral infiltration or distant metastasis in the low rectal cancer, can choose to retain the anus surgery. Correct intraoperative operation can reduce complications happened.