腹会阴联合直肠癌根治是普外科相对较大的手术。直肠癌是指位于齿状线至乙状结肠交界之间的恶性肿瘤,是常见的消化道肿瘤,其发病率位居消化道肿瘤第2位。我国直肠癌患者的特点是低位病变,低位直肠癌约占直肠癌的65%~75%,且中青年多见。位于齿状线以上7~8 cm以内的直肠癌患者,采用经腹会阴联合根治术为最佳方式,也是治疗直肠癌的一种经典术式。该手术范围为完整切除肿瘤,并广泛切除包括提肛肌和肛门括约肌在内的乙状结肠系膜淋巴结引流区,做永久性人工肛门。手术切除范围广,容易达到根治目的。手术室护士在术前必须做好充分的准备工作,术中与麻醉师及手术医师密切配合,才能保证手术安全顺利进行。下面就该手术的配合及体会介绍如下。1手术方法1取脐上4 cm至髂骨联合为腹部切口,将皮肤切开,开腹探查。 Abdominal perineum combined with rectal cancer radical surgery is relatively large surgery. Rectal cancer is located in the dentate line between the sigmoid junction between the malignant tumor is a common gastrointestinal cancer, the incidence rate ranked second in gastrointestinal tumors. Rectal cancer patients in our country is characterized by low lesions, low rectal cancer accounts for about 65% to 75% of rectal cancer, and young more common. Rectal cancer patients located within 7 to 8 cm above the dentate line, the best way to adopt transabdominal perineal combined radical mastectomy, but also a classic surgical treatment of rectal cancer. The surgical range is a complete resection of the tumor, and extensive excision of the sigmoid mesenteric lymph node drainage area, including the levator ani muscle and anal sphincter, is used as a permanent artificial anus. Surgical removal of a wide range of easy to achieve the purpose of cure. The operating room nurses must be adequately prepared before the operation, and the close cooperation with the anesthesiologist and the surgeon in the operation can ensure the safe operation of the operation. The following with the surgery and experience described below. 1 surgical methods 1 take umbilical 4 cm to the iliac joint abdominal incision, the skin incision, open exploration.