对２０例直肠癌施行前切除术近期复发进行了分析，其原因与只顾保肛致肿瘤远端肠段切除不足，盆腔清除不彻底以及肿瘤分化程度、生物特性、Ｄｕｋｅｓ分期等因素有关，提示此术式选择应全局考虑，术后应定期随访复查，及早发现复发，力争再次手术切除． The recent recurrence of 20 cases of rectal cancer undergoing anterior resection was analyzed. The reasons were related to factors such as insufficient resection of the distal bowel segment, incomplete pelvic clearance, tumor differentiation, biological characteristics, Dukes staging and other factors. The choice of surgical procedure should be considered globally. Postoperative follow-up should be followed up regularly to detect recurrence as soon as possible.