[Clinical study of five combined operation for anus reconstruction].

Objective: To study the effect of five combined operation for anus reconstruction after Miles operation in patients with lower colorectal cancer.

Methods: 60 patients with lower colorectal cancers received Miles operation, followed by five combined operation for anus reconstruction (internal and external anal sphincter, rectal flap, rectal angle, anus perineal reconstruction).

Results: 5-6 days after operation, all cases had desire to excretion.2-3 weeks lateral, all cases desired to control excretion and excreted 1 or 2 times per-day. Internal rectum testing showed the static pressure in anus, the constrictive pressure, and the static pressure in rectum were all normal. The survival rate of patients over 5 years was beyond 88％.

Conclusions: It suggests that five combined operation for anus reconstruction after Miles operation could avoid man-made anus on abdomen. It can improve the patients' life quality, long-term survival rate. And it's also economical method for patients.