对低位直肠癌采用迈尔斯(Miles)手术已有80年的历史,但腹部永久性人工肛门给患者带来的痛苦则始终未解决,因此,该手术常为病人所厌恶,甚至不少患者拒绝手术。针对此问题,我们在张庆荣创用股薄肌作肛门外括约肌成形术和席忠义用结肠套迭法的基础上,设计了经腹会阴切除后内外括约肌成形原位重建肛门手术,使肛门的排便与括约肌功能达到理想的程度。自1985年6 It has been 80 years since Myers surgery was performed on low rectal cancer. However, the pain caused by the permanent artificial anal of the abdomen remains unresolved. Therefore, the operation is often disgusted by the patient and even many patients Reject surgery. In response to this problem, we designed in-situ reconstructive anal reconstruction of the internal and external sphincter after transabdominal perineal resection to make defecation of the anus on the basis of Zhang Qingrong’s use of the genital muscle for external anal sphincter plasty and Xi Zhongyi for colonic overlap. With sphincter function to achieve the desired degree. Since 1985 6