行全盆腔脏器切除术的大多数病人都需做永久性结肠造瘘术。作者最近选择部分病人保留其肛门残端并行低位直肠吻合,从而修改了上述术式。本文总结了以前因子宫癌复发或扩散放疗后病人行盆腔脏器切除术同时行低位直肠吻合的经验。1979.7～1986.7,21例病人于盆腔脏器切除同时行低位直肠吻合术,19例低位直肠吻合的病人应用自动吻合器,行全盆腔脏器切除及低位直肠吻合的全部病例病变仅限于子宫、阴道、膀胱或位于子宫及阴道下方的直肠部位。如病变侵及阴道和肠壁,甚至侵及提肛肌的一部分,则要行会阴大部及 Most patients undergoing total pelvic excision require permanent colostomy. The author recently selected part of the patients to retain their anal stump parallel low rectal anastomosis, thus modifying the above procedure. This article summarizes the experience of resection of low rectal anastomosis with pelvic organ excision in patients who had previously undergone esophageal cancer recurrence or radiotherapy. 1979.7 ~ 1986.7,21 cases of patients with pelvic organ resection at the same time low rectal anastomosis, 19 cases of patients with low rectal anastomosis automatic stapler, the whole pelvic organ resection and low rectal anastomosis all cases of lesions limited to the uterus, vagina , Bladder or rectum located in the uterus and vagina below. Invasion of lesions such as vaginal and intestinal wall, and even invade the levator ani muscle part of the line will have to do most of the perineum and