对直肠癌病人,如能施行保留肛门括约肌重建直肠术,应该说是理想的。问题是什么样的情况才宜作此型手术?Goligher等对此曾强调要注意下述4要素:(1)癌瘤与肛门间的距离;(2)病人的性别与体质情况;(3)肿瘤的大体与镜检的特点;(4)有无远处转移。我们同意在选择手术方式时应予充分考虑上列4点。 For patients with rectal cancer, if it is possible to perform reconstructive anorectal sphincter reconstruction surgery, it should be said to be ideal. The question is what kind of situation is appropriate for this type of surgery? Goligher et al. have emphasized that the following four elements should be noted: (1) the distance between the cancerous tumor and the anus; (2) the patient’s gender and physical condition; (3) General and microscopic features of the tumor; (4) whether there is distant metastasis. We agree that the above four points should be fully taken into consideration when selecting surgical methods.