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目的：对腹骶联合切除术病例的选择、术后并发症、疗效及局部复发情况进行讨论。方法：经腹骶入路手术治疗中段直肠癌９例。结果：５年生存率为５６％（５例），１０年生存率为４４％（４例），无局部复发。结论：其一，此术式最大优点是既能根除癌肿，又能保留正常的肛门功能，病人易于接受；其二，远期疗效与腹会阴联合切除术相同；其三，避免了Ｂａｃｏｎ氏手术或腹会阴联合切除术给病人造成的身体痛苦和心理上的压力
Objective: To discuss the selection, postoperative complications, curative effect and local recurrence of abdominal hernia resection. Methods: 9 cases of mid rectal cancer were treated by transabdominal approach. Results: The 5-year survival rate was 56% (5 cases), the 10-year survival rate was 44% (4 cases), and there was no local recurrence. Conclusion: First, the biggest advantage of this surgical technique is that it can not only eliminate cancer, but also retain normal anal function, and it is easy for patients to accept. Second, the long-term efficacy is the same as that of abdominal perineal resection. Third, it avoids Bacon’s Surgical or abdominal perineal resection gives the patient physical pain and psychological stress