目前结直肠癌是全球及我国高发恶性肿瘤之一，特别是我国呈逐年上升趋势。随着TME技术及微创技术的飞速发展，外科医生对直肠周围的解剖筋膜层次的认识逐步完善。本视频在直肠精准的筋膜解剖结构及微血管理论基础上，结合术者多年的微创手术经验，阐述了一例腹腔镜下的直肠癌根治术。

Nowadays，colorectal cancer is one of the most common malignant tumors in world widely with an increasing incidence in China. With the rapid development of TME and minimal surgical techniques，surgeons have better knowledge of the anatomy around the rectum and its surrounding fascia. In this video，we demonstrated one case for laparoscopic anterior rectal resection based on the precise fascia anatomy，micro-vessel theory，and the surgeon's own experience.