本院对中段直肠癌作了二例腹骶联合切除结肠吻合术,术后均无并发症,肛门功能良好。直肠癌大多数发生在中段(6—12公分)以往多是施行腹会阴联合切除腹部造口术。但此术仍不为所有病人接受。约15％病人因拒绝人工肛门手术而失去手术治疗机会。接受手术者也受到精神和心理上的巨大压力,尤其给青年患者婚姻,家庭生活都带来了影响。鉴此,Dukes氏等人经大量病例研究对直肠癌的蔓延方式作了如下结论:淋巴蔓延主要是沿痔上血 The hospital performed two cases of abdominal anastomosis combined with colon resection for mid rectal cancer. No postoperative complications occurred and the anal function was good. The majority of rectal cancers occur in the middle segment (6-12 cm). In the past, abdominal abdominoplasty combined with abdominal ostomy was performed. However, this technique is still not accepted by all patients. About 15% of patients lost surgical treatment because they refused artificial anal surgery. Persons undergoing surgery are also subject to tremendous psychological and psychological pressure, especially for young patients, marriage, and family life. In view of this, Dukes et al. made extensive conclusions about the spread of rectal cancer through a large number of case studies: The lymphatic spread is mainly along the supraorbital blood.