随着治疗理念的进步,特别是以吻合器为代表的新技术的应用,使中低位直肠癌的保肛率不断增加。以全直肠系膜切除(TME)为基本技术的低位(LAR)或超低位(ULAR)前切除已成为目前常用的术式[1]。但有关保肛手术的适应证、器械吻合的并发症及其预防等问题,仍有待于进一步完善。本文仅就中低位直肠癌手术中器械吻合的合理使用做一讨论。 With the improvement of the treatment concept, especially the application of the new technology represented by the stapler, the retention rate of the middle and low rectal cancer is continuously increased. Low-level (LAR) or ultra-low (ULAR) anterior resection with total mesorectal excision (TME) as the basic technique has become the most commonly used procedure [1]. However, the protection of anus surgery indications, complications and prevention of complications and other issues, still need to be further improved. This article only on the low-rectal cancer surgery in a reasonable use of equipment to do a discussion.