采用电视腹腔镜进行腹会阴联合直肠癌根治术，在国内处于临床探索阶段。与国内介绍的术式有所不同，该文结合病人对手术费用的承受能力及增强手术安全、彻底性两个方面，采用正造瘘口，直视下切断乙状结肠和肠系膜下动脉的手术方案，通过对４例病人治疗，认为该技术在结直肠外科有着较大的应用潜力，其手术技术、效率、临床效果还需大量的临床实践来进一步证实 The use of laparoscopic laparoscopy for perineal and rectal cancer radical resection is at a clinical stage in China. Different from the surgical methods introduced in China, this article combines the patient’s ability to endure the operation cost and enhances the safety and thoroughness of the operation. The surgical plan of making a fistula and directly cutting the sigmoid colon and inferior mesenteric artery under direct vision is adopted. The treatment of 4 patients was considered to have a great potential for application in colorectal surgery. The surgical technique, efficiency, and clinical efficacy of the technique still require substantial clinical practice to further confirm