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1971年Localio 报导了经腹经骶治疗直肠中段癌的手术。我院于1974～1983年间适当改进此法作了5例手术并作了随访,初步报告及探讨如下:一、Localio 手术原式介绍:手术基于经腹探查,游离。经骶提出并在体外行肿瘤切除,结直肠端端吻合。病员取向右45°侧卧位,二组分别用腹股沟平行切口和经骶横切口腹骶同时操作。直肠游离需前方达阴道中段或前列腺水平,后方至尾骨。骶部吻合务使不扭转亦无张力。以大网膜包裹吻合口,回纳腹腔后分层缝闭切口。肿瘤下切除线需在2.5～3.0cm以上。作者认为合适的距离在女性是齿线上
In 1971, Localio reported the operation of trans-abdominal hernia for the treatment of middle rectal cancer. Our hospital improved the method from 1974 to 1983. Five cases were performed and followed up. The initial report and discussion were as follows: First, the original type of Localio surgery: The operation was based on transabdominal exploration. The tumor was removed and the tumours were removed and the end of the colon was anastomosed. The patient was oriented at the right 45° lateral position, and the two groups were operated simultaneously with a parallel incision of the groin and a ventral hernia through the transverse incision. The free rectum needs to reach the middle of the vagina or the level of the prostate, and the back to the coccyx. The anastomosis of the ankle makes it not twisted or tensioned. The anastomosis was wrapped in a large omentum, and the incision was closed after laminectomy. The tumor resection line needs to be 2.5~3.0cm. The author thinks that the appropriate distance is in the female teeth