目的评价以肛管拖出式双吻合器实施直肠癌保肛手术的疗效。方法利用肛管拖出结合双吻合器保肛技术,自2003年1月至2005年7月对12例直肠癌行手术切除。结果12例患者均成功地保留了肛门和大便控制功能,术后无吻合口瘘,随访5~18个月,无局部复发。结论肛管拖出式双吻合器法保肛术是安全可行的。 Objective To evaluate the efficacy of sphincter preserving operation for rectal cancer with anal tube pull-out double stapling device. Methods Using the anal canal to pull out the combined anastomosis technique with double stapler, 12 cases of rectal cancer were surgically removed from January 2003 to July 2005. Results The anal and fecal control functions were successfully retained in all 12 patients. No anastomotic leakage occurred after operation. The follow-up period was 5 to 18 months without local recurrence. Conclusions Anal canal-pull double stapling technique is safe and feasible.