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開放式全直腸系膜切除術（TME）是一種切除直腸及其周圍一些組織的外科手術
直腸是大腸在肛管之前的最后一部分
直腸儲存稱為糞便的固體廢物，直到將其排出體外
直腸系膜是直腸周圍包含淋巴結的組織
進行全直腸系膜切除術以治療直腸癌癥
以及可能已經擴散到直腸周圍淋巴結的癌癥
開放式全直腸系膜切除術將從腹部切口開始
在您的腹部內，外科醫生會將直腸上方的大腸與覆蓋其的組織分開
然后，您的直腸和直腸系膜將與骨盆中的組織分離
您的大腸將在直腸上方分開，并用釘書釘或縫合線封閉
您的直腸將在肛管上方分開并被切除
接下來，您的外科醫生將在您的結腸末端創建一個造口袋
造口袋的功能類似于直腸，因為它可以儲存糞便
該造口袋將附著在您的肛管上
手術結束時，腹部的切口將用訂書釘或縫線縫合
此時，您的外科醫生有時會創造一種不同的方式，讓糞便在新附件愈合時離開您的身體
為此，您的外科醫生會在您的腹部做一個單獨的切口
然后將小腸拉出一個環
環將被打開并附著在切口上
該開口稱為造口
造口處將附有一個袋子，以便糞便排入其中
稍后，當您的大腸愈合后，您將進行另一次手術來關閉造口
這將使糞便以通常的方式排出體外
如果您對直腸切除手術有疑問，
與您的醫療保健提供者交談

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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
開放式全直腸系膜切除術(TME)是一種切除直腸及其周圍一些組織的外科手術
Your rectum is the last part of your large intestine before the anal canal
直腸是大腸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
直腸儲存稱為糞便的固體廢物,直到將其排出體外
The mesorectum is the tissue around your rectum that contains lymph nodes
直腸系膜是直腸周圍包含淋巴結的組織
A total mesorectal excision is performed to treat cancer in your rectum
進行全直腸系膜切除術以治療直腸癌癥
as well as cancer that may have spread to the lymph nodes around your rectum
以及可能已經擴散到直腸周圍淋巴結的癌癥
An open total mesorectal excision will begin with an incision in your abdomen
開放式全直腸系膜切除術將從腹部切口開始
Inside your abdomen your surgeon will separate the large intestine above your rectum from the tissue covering it
在您的腹部內,外科醫生會將直腸上方的大腸與覆蓋其的組織分開
Then your rectum and mesorectum will be separated from the tissue in your pelvis
然后,您的直腸和直腸系膜將與骨盆中的組織分離
Your large intestine will be divided above your rectum and closed with staples or sutures
您的大腸將在直腸上方分開,并用釘書釘或縫合線封閉
Your rectum will be divided above your anal canal and removed
您的直腸將在肛管上方分開并被切除
Next your surgeon will create a pouch at the end of your colon
接下來,您的外科醫生將在您的結腸末端創建一個造口袋
The pouch will function like a rectum because it will store feces
造口袋的功能類似于直腸,因為它可以儲存糞便
This pouch will be attached to your anal canal
該造口袋將附著在您的肛管上
At the end of the procedure the incision in your abdomen will be closed with staples or stitches
手術結束時,腹部的切口將用訂書釘或縫線縫合
At this point your surgeon will sometimes create a different way for feces to leave your body while the new attachment heals
此時,您的外科醫生有時會創造一種不同的方式,讓糞便在新附件愈合時離開您的身體
To do this your surgeon will make a separate incision in your abdomen
為此,您的外科醫生會在您的腹部做一個單獨的切口
and pull a loop of your small intestine through it
然后將小腸拉出一個環
The loop will be opened and attached to the incision
環將被打開并附著在切口上
The opening is called a stoma
該開口稱為造口
A bag will be attached to the stoma to allow feces to drain into it
造口處將附有一個袋子,以便糞便排入其中
Later when your large intestine has healed you will have another procedure to close the stoma
稍后,當您的大腸愈合后,您將進行另一次手術來關閉造口
This will allow feces to pass out of your body the usual way
這將使糞便以通常的方式排出體外
If you have questions about rectal removal surgery
如果您對直腸切除手術有疑問,
talk to your healthcare provider
與您的醫療保健提供者交談