[Clinical research of improved plastic and reconstruction of anus in situ].
OBJECTIVE
To explore the effect of the improved plastic and reconstruction of the anus in situ.


METHODS
Improved plastic and reconstruction of anus in situ was performed in 38 cases of low rectal cancers operated while Miles radical operation. Improvement includes: (1) The internal sphincter was rebuilt with 4 layers of muscle layer of the endmost of colon. (2) The last of gracilis was divided into 2 parts to reconstruct the superficial part and deep part of external sphincter muscle. (3) The rectum cape improvement is to firmly stitch the levator ani outside the external sphincter muscle in front of the colon. (4) The rectum valve is improved into three artificial rectum valves.


RESULTS
The form and function and their long term survival rate were good, the rate of superior anus function was 94.73%.


CONCLUSIONS
It mains the results of improved plastic and reconstruction of anus in situ is near that of normal persons.
Zhang
Ben-Shou
BS
Department of Surgery, the 100th Hospital of PLA , Suzhou 215007, China.
Lun
Zi-hao
ZH
Li
Zeng-nan
ZN
Zheng
Xiang
X
Xu
Liang-biao
LB
Xu
Zhi-jiu
ZJ
Shui
Xiang-bing
XB
Jia
Ling
L
Chu
Hui
H
Wei
Fu-tang
FT
Wu
Yun-fei
YF
D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012007:Rectum / Q000601:surgery