故事一七八年前,当我还在以前的医院做普外科医生时,收治了一位姓张的60岁左右的男性直肠癌患者。患者的病灶距离肛门很近,接受麦氏手术,即经腹、会阴联合直肠癌根治术,肛门也被切除,术后只能通过腹壁排便到造瘘袋中,手术顺利。因已有部分淋巴结转移,故术后患者还接受了化疗,病情平稳后出院。2年后,患者病情复发,盆腔、腹腔多发肿大淋巴结,手术区域也有大 Seventeen years ago, when I was a general surgeon in a former hospital, I treated a man about 60 years old with rectal cancer who had surnamed Zhang. The patient’s lesion was close to the anus. Undergoing Maxwell’s surgery, the transabdominal and perineal combined radical resection of the rectum and the anus were also performed. The postoperative defecation was performed only through the abdominal wall to the ostomy bag, and the operation was successful. Due to some lymph node metastases, so patients also received postoperative chemotherapy, stable condition and discharged. Two years later, patients with recurrent disease, pelvic, abdominal multiple enlarged lymph nodes, the surgical area is also large