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近年来,我国直肠癌的发病率逐年升高,其中位于腹膜返折下的低位直肠癌约占70%,而低位直肠癌的治疗要求及难度远高于结肠癌和上段直肠癌。因此,选择一种既能根治癌灶又能保肛的理想术式对低位直肠癌患者的生存率及生活质量的提高有重要的意义。全直肠系膜切除术(Total Mesorectal Exci-sion,TME)是英国的Bill Heald医师[1]于1982年提出的,经过二十多年的实践,它已被国际医疗界广泛接受并作为直肠癌根治性切除的手术操作规范。
In recent years, the incidence of rectal cancer in our country has been increasing year by year, of which, 70% of the patients with low rectal cancer located in peritoneal reentry, while the treatment of low rectal cancer is much more difficult and demanding than that of colon cancer and upper rectal cancer. Therefore, the choice of an ideal operation that can both cure cancer and preserve anus is of great significance to the survival rate and quality of life of patients with low rectal cancer. Total Mesorectal Excision (TME) was proposed by Dr. Bill Heald [1] in the UK in 1982 and has been widely accepted by the international medical community for more than two decades as a cure for rectal cancer Sexual resection of the surgical practices.