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肛管和直肠恶性肿瘤的手术切除是一种重要的治疗方法,腹会阴合并切除腹部人工肛门的麦氏手术,经过几十年实践证明是治疗肛门直肠癌的根治手术,但手术后遗留的永久性腹部人工肛门,常为病人所厌恶,给病人精神上和生活上带来不便。距肛门缘10—12厘米的可做拉出保留一段直肠和肛门手术;直肠壶腹上部癌可做拉出保留肛门括约肌手术;直肠下段和肛管癌一般仍认为麦氏手术最为彻底。为了减少和避免腹部人工肛门,我们创议这种手术,按着麦氏手术的要求,广泛切除肿瘤及其所侵犯的组织,并将乙状结肠拉下代替肛管,
Surgical removal of anal and rectal malignancies is an important method of treatment. Abdominal perineal excision of intra-abdominal anorectal McIndy’s surgery has been proved to be a radical operation for the treatment of anorectal cancer after several decades of practice. However, the permanent left after surgery is permanent. Sexual anal artificial abdomen, often aversion to the patient, inconvenience to the patient’s mental and life. 10 to 12 cm from the anal margin can be pulled out to retain a rectum and anus surgery; rectal ampulla above the cancer can be done to retain the anal sphincter surgery; rectal lower and anal canal generally believe that the Mai surgery is the most thorough. In order to reduce and avoid abdominal artificial anus, we proposed this operation, according to the requirements of Mc’s surgery, extensively remove the tumor and the tissue it invaded, and pull down the sigmoid colon to replace the anal canal.