直肠癌的综合治疗中,术前放化疗和原发肿瘤R0切除的疗效已经逐渐得到共识。即使如此,仍有部分患者会逐渐发展为局部复发性直肠癌,约在10%左右~([1])。由于盆腔的解剖结构复杂,既往手术后局部结构的改变、炎症瘢痕形成,加上手术空间狭小,外科的治疗难度较初治患者大大增加。然而,复发癌的R0切除仍是始终的追求,有文献报道复发性直肠癌完整 The comprehensive treatment of rectal cancer, preoperative chemoradiation and primary tumor R0 resection efficacy has gradually been agreed. Even so, some patients will gradually develop into locally recurrent rectal cancer, about 10% ~ ([1]). Due to the complex anatomy of the pelvis, the changes in the local structure after previous surgery, the formation of inflammatory scars, and the small surgical space, the surgical treatment is more difficult than the initial treatment. However, R0 resection of cancer recurrence is still the pursuit, there are reports of recurrent rectal cancer complete