介绍全盆腔器官切除术治疗晚期及复发直肠癌的体会。采用此方法治疗的９例中有２例已生存３年以上，除１例死亡外，其余生存１年～２年６个月。操作要点为尿痿的造设，作法是，左侧输尿管于腹膜后牵至右侧，与右侧输尿管一并于右下腹造设尿痿。对于过多的腹膜缺损，认为最好的办法是以带蒂的大网膜或合成材料进行修补。全盆腔器官切除术为患者生存期的延长开辟了新路。 To introduce the experience of total pelvic organ resection for advanced and recurrent rectal cancer. Of the 9 cases treated by this method, 2 cases have survived for more than 3 years. Except 1 case died, the rest survived for 1 year to 2 years and 6 months. The main point of operation is the establishment of urinary fistulas. The practice is to pull the left ureter into the right side of the retroperitoneum and create a urethral fistula together with the right ureter in the right lower quadrant. For excessive peritoneal defects, the best way to think of it is to repair it with a pedicled omentum or synthetic material. Pelvic organ resection has opened up a new path for the extension of patients’ survival.