腹腔镜直肠癌手术以其创伤小，患者术后恢复快等优势，逐渐成为结直肠外科手术的主要方式。然而，腹腔镜直肠癌手术的规范化过程中也面临着一系列问题。临床医师除了掌握规范的手术技巧外，更重要的是要掌握直肠癌诊治中涉及的一系列重要问题，首先是重视术前肿瘤的临床分期；其次要重视直肠系膜的解剖学概念，了解直肠癌相关的神经保护，功能保留；第三要熟悉直肠癌根治中的基本概念；第四要重视直肠癌外科手术领域的观念更新；最后要注重开放手术技能的训练。临床医师应该站在医学的最前沿，跟上医学发展的脚步，用最先进的理念，精湛的技艺，完美的治疗，为直肠癌患者提供高水准的医疗照顾。

Laparoscopic surgery for rectal cancer has gradually become the mainstage of colorectal surgery due to its advantages of less trauma and quick recovery.However, the standardization of laparoscopic surgery for rectal cancer is facing a series of problems.In addition to mastering standard surgical skills, clinicians should master a series of important issues involved in the diagnosis and treatment of rectal cancer.First of all, itshould pay attention to preoperative clinical staging of the tumor. Secondly, attach importance to the anatomical concept of mesentery and understand the pelvic autonomic nerves preservation related to rectal cancer surgery.Thirdly, be familiar with the basic concepts of rectal cancer radical treatment.Then, pay attention to the renewal of the concept in the field of rectal cancer surgery.Finally, the training of open surgical skills should be emphasized.Clinicians should stand at the forefront of medicine, keep up with the pace of medical development, and provide high level of medical care for patients suffering from rectal cancerwith the most advanced concept, exquisite skills and perfect treatment.