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目的；探讨手缝法低位结-直肠吻合术在晚期卵巢癌直肠转移肠段切除吻合术中的价值。方法：于盆底腹膜外游离直肠下段，距离癌灶缘3cm以外切除受侵肠管，行手缝低位结-直肠吻合术。手术结束后于骶前间隙放置引流管，以防渗液蓄积继发感染。结果：10例中除1例术后9d出现吻合口瘘外，，余9例吻合口均甲级愈合。术后以PAC方案为主行腹腔和静脉联合化疗，效果良好。随访6～36个月患者均存活，其中7例临床完全缓解。结论：手缝法低位结-直肠吻合术不需借助特制器械，避免了肠造瘘的痛苦，提高了生活质量。
Objective To explore the value of hand stitching low node - rectal anastomosis in resection and anastomosis of rectal metastasis of advanced ovarian cancer. Methods: The pelvic peritoneum was removed from the lower segment of the rectum. The affected intestine was excised 3 cm away from the foci of foci and the lower stitching - rectal anastomosis was performed by hand. Drainage tube was placed in the presacral space after surgery to prevent the secondary infection of accumulating fluid. Results: In 10 cases, anastomotic fistula was found in 9 cases except for one case, and the other 9 cases had anastomotic healing. Postoperative PAC program mainly abdominal celiac and intravenous chemotherapy, the effect is good. All cases were followed up for 6 ~ 36 months, of which 7 cases were completely relieved. Conclusion: Hand stitching low node - rectal anastomosis without special equipment, to avoid the pain of intestinal fistula and improve the quality of life.