Open Total Mesorectal Excision
开腹全直肠系膜切除术
An open total mesorectal excision or TME is a surgical procedure to remove your rectum and some of the tissue around it.
开腹全直肠系膜切除术（TME）是一种切除直肠及其周围组织的手术。
Your rectum is the last part of your large intestine before the anal canal. The rectum stores solid waste called feces until you pass it out of your body. The mesorectum is the tissue around your rectum that contains lymph nodes.
直肠是大肠的最后一段，下接肛管。称为粪便的固体废物在排出体外前储存在直肠。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 as well as cancer that may have spread to the lymph nodes around your rectum.
全直肠系膜切除术用于治疗直肠癌，以及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. Inside your abdomen, your surgeon will separate the large intestine above your rectum from the tissue covering it.
开腹全直肠系膜切除术将先在患者的腹部做切口。打开腹腔后，医生将直肠上的大肠与周围覆盖的组织分离。
Then, your rectum and mesorectum will be separated from the tissue in your pelvis. Your large intestine will be divided above your rectum and closed with staples or sutures. Your rectum will be divided above your anal canal and removed.
然后，分离直肠和直肠系膜与盆腔内的组织；离断直肠上的大肠，并使用缝合钉或缝线缝合；在肛管上方离断直肠，并取出。
Next, your surgeon will create a pouch at the end of your colon. The pouch will function like a rectum because it will store feces. This pouch will be attached to your anal canal.
接下来，医生将在患者的结肠末端造一个小袋。这个小袋的功能类似于直肠，因为它将储存粪便。医生将小袋连接在肛管上。
At the end of the procedure, the incision in your abdomen will be closed with staples or stitches. At this point, your surgeon will sometimes create a different way for feces to leave your body while the new attachment heals.
手术最后，医生将使用缝合钉或缝合线缝合患者腹部的切口。此时，随着新的连接部位愈合，医生有时将采取一种不同的方式帮助患者将粪便排到体外。
To do this, your surgeon will make a separate incision in your abdomen and pull a loop of your small intestine through it.
为此，医生将在患者腹部单独做一个切口，将小肠袢从中拉出。
The loop will be opened and attached to the incision. The opening is called a stoma. A bag will be attached to the stoma to allow feces to drain into it.
医生将打开肠袢，将其附到切口上。这个开口就是造口。医生将一个袋子连接到造口，用于排出粪便。
Later, when your large intestine has healed, you will have another procedure to close the stoma. This will allow feces to pass out of your body the usual way.
稍后，当大肠愈合时，医生将行另一项手术关闭造口。此后，粪便将以正常方式排出人体。
If you have questions about rectal removal surgery, talk to your healthcare provider.
如果对直肠切除手术有任何疑问，请与医务人员探讨！
相关单词学习
Mesorectum
①发音和释义
mes•o•rec•tum/ˌmezəˈrektəm/n. 直肠系膜
The mesentery of the rectum.
单词 mesorectum 由下列成分构成
meso-（前缀）中间，中央
+
rectum 直肠
（图源：太帅图库）
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