目的:探讨腹腔镜全直肠系膜切除术治疗直肠癌的临床应用及疗效。方法:回顾分析2009.06~2010.06期间我科12例直肠癌行腹腔镜直肠全系膜切除术患者的临床资料。结果:12例均在腹腔镜辅助下完成全直肠系膜切除术+淋巴结清扫术,手术时间2.5~3h,平均2.7h,术中平均出血150m1。术后均无严重并发症发生。结论:腹腔镜全直肠系膜切除术具有较高的实用价值,在严格掌握手术适应证、不断提高手术技巧的基础上,腹腔镜辅助下全直肠系膜切除术治疗直肠癌是可行的。 Objective: To investigate the clinical application and efficacy of laparoscopic total mesorectal excision for the treatment of rectal cancer. Methods: The clinical data of 12 cases of rectal cancer undergoing laparoscopic total mesorectal excision in our department from 2009.06 to 2010.06 were retrospectively analyzed. Results: All cases underwent mesorectal excision + lymph node dissection assisted by laparoscope. The operation time was 2.5 ~ 3h with an average of 2.7 hours and the average intraoperative blood loss was 150ml. No serious complications occurred after surgery. Conclusions: Laparoscopic total mesorectal excision has high practical value. It is feasible to treat mesorectal cancer with laparoscopic-assisted total mesorectal excision based on strict indication of surgical indications and continual improvement of surgical techniques.