开放式全直肠系膜切除术（TME）是一种切除直肠及其周围一些组织的外科手术
直肠是大肠在肛管之前的最后一部分
直肠储存称为粪便的固体废物，直到将其排出体外
直肠系膜是直肠周围包含淋巴结的组织
进行全直肠系膜切除术以治疗直肠癌症
以及可能已经扩散到直肠周围淋巴结的癌症
开放式全直肠系膜切除术将从腹部切口开始
在您的腹部内，外科医生会将直肠上方的大肠与覆盖其的组织分开
然后，您的直肠和直肠系膜将与骨盆中的组织分离
您的大肠将在直肠上方分开，并用钉书钉或缝合线封闭
您的直肠将在肛管上方分开并被切除
接下来，您的外科医生将在您的结肠末端创建一个造口袋
造口袋的功能类似于直肠，因为它可以储存粪便
该造口袋将附着在您的肛管上
手术结束时，腹部的切口将用订书钉或缝线缝合
此时，您的外科医生有时会创造一种不同的方式，让粪便在新附件愈合时离开您的身体
为此，您的外科医生会在您的腹部做一个单独的切口
然后将小肠拉出一个环
环将被打开并附着在切口上
该开口称为造口
造口处将附有一个袋子，以便粪便排入其中
稍后，当您的大肠愈合后，您将进行另一次手术来关闭造口
这将使粪便以通常的方式排出体外
如果您对直肠切除手术有疑问，
与您的医疗保健提供者交谈

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An open total mesorectal excision or TME is a surgical procedure to remove your rectum and some of the tissue around it
开放式全直肠系膜切除术(TME)是一种切除直肠及其周围一些组织的外科手术
Your rectum is the last part of your large intestine before the anal canal
直肠是大肠在肛管之前的最后一部分
The rectum stores solid waste called feces until you pass it out of your body
直肠储存称为粪便的固体废物,直到将其排出体外
The mesorectum is the tissue around your rectum that contains lymph nodes
直肠系膜是直肠周围包含淋巴结的组织
A total mesorectal excision is performed to treat cancer in your rectum
进行全直肠系膜切除术以治疗直肠癌症
as well as cancer that may have spread to the lymph nodes around your rectum
以及可能已经扩散到直肠周围淋巴结的癌症
An open total mesorectal excision will begin with an incision in your abdomen
开放式全直肠系膜切除术将从腹部切口开始
Inside your abdomen your surgeon will separate the large intestine above your rectum from the tissue covering it
在您的腹部内,外科医生会将直肠上方的大肠与覆盖其的组织分开
Then your rectum and mesorectum will be separated from the tissue in your pelvis
然后,您的直肠和直肠系膜将与骨盆中的组织分离
Your large intestine will be divided above your rectum and closed with staples or sutures
您的大肠将在直肠上方分开,并用钉书钉或缝合线封闭
Your rectum will be divided above your anal canal and removed
您的直肠将在肛管上方分开并被切除
Next your surgeon will create a pouch at the end of your colon
接下来,您的外科医生将在您的结肠末端创建一个造口袋
The pouch will function like a rectum because it will store feces
造口袋的功能类似于直肠,因为它可以储存粪便
This pouch will be attached to your anal canal
该造口袋将附着在您的肛管上
At the end of the procedure the incision in your abdomen will be closed with staples or stitches
手术结束时,腹部的切口将用订书钉或缝线缝合
At this point your surgeon will sometimes create a different way for feces to leave your body while the new attachment heals
此时,您的外科医生有时会创造一种不同的方式,让粪便在新附件愈合时离开您的身体
To do this your surgeon will make a separate incision in your abdomen
为此,您的外科医生会在您的腹部做一个单独的切口
and pull a loop of your small intestine through it
然后将小肠拉出一个环
The loop will be opened and attached to the incision
环将被打开并附着在切口上
The opening is called a stoma
该开口称为造口
A bag will be attached to the stoma to allow feces to drain into it
造口处将附有一个袋子,以便粪便排入其中
Later when your large intestine has healed you will have another procedure to close the stoma
稍后,当您的大肠愈合后,您将进行另一次手术来关闭造口
This will allow feces to pass out of your body the usual way
这将使粪便以通常的方式排出体外
If you have questions about rectal removal surgery
如果您对直肠切除手术有疑问,
talk to your healthcare provider
与您的医疗保健提供者交谈