Objective To explore curative effect observation for advanced age patients with low rectal cancer by laparo-scopic surgery. Methods By retrospective analysis method, 40 patients with low rectal cancer by laparoscopic surgery from December 2010 to December 2012 were studied as observation group. 40 patients of low rectal cancer were se-lected at the same time by open surgery as control group. Complications,postoperative anal function and 2 years local recurrence rates of two groups were compared. Results Postoperative complications, anal sphincter control defecation function and local tumor recurrence rate of two groups with were compared,there was no statistically significant differ-ence(P>0.05). Conclusion Advanced age patients with low rectal cancer by laparoscopic surgery have an obvious adven-tage in therapeutic effect,safety and reliability. The technology is worth popularization and application.%目的：探讨高龄患者全腹腔镜低位直肠癌根治术的疗效观察。方法回顾性分析我院自2010年12月~2012年12月接受此手术的40例患者作为研究对象(观察组)。选取同期进行开放式低位直肠癌根治术的40例患者作为对照(对照组)。比较两组患者手术的并发症、术后肛门功能和术后2年局部复发率的情况。结果两组患者的术后并发症、肛括<肌控制排便功能及局部肿瘤复发率等指标比较，差异无统计学意义(P>0.05)。结论采用全腹腔镜下直肠根治术治疗高龄低位直肠癌疗效显著，安全可靠，值得临床推广运用。
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