需要腹会阴切除术（APR）和前切除术（AR）的直肠恶性肿瘤非常常见。腹腔镜 APR 或 AR 可能是更好的选择。这项研究观察了这种新技术替代传统开放方法的可行性。这项前瞻性观察性研究由 2015 年 11 月至 2016 年 4 月期间在 BIRDEM 总医院接受腹腔镜 APR 或 AR 治疗的诊断为直肠癌的患者组成。在 19 名患者中，年龄范围为 20-78 岁，平均年龄为49.84±17.04岁。男女比例为12:7（63.2%:36.8%）。十二 (12) 名患者接受了腹腔镜 APR，6 名患者接受了腹腔镜 AR，一名患者进行了转换（转换率 - 5.3%）。需要的镇痛药较少，4.05 天平均需要注射 5.61±1.57 剂量/充足/毫克阿片类药物。注意到术后早期下床活动（2.16±0.76 天）。术后平均住院时间为 11.53±1.98 天。腹腔镜 APR 或 AR 是一种安全、有效且技术上可行的手术。就术后早期结果而言，例如较少的镇痛药需求、早期下床活动和较短的住院时间，这可能是一种更好的手术程序。

Rectal malignancies that require abdominoperineal resection (APR) and Anterior resection (AR) is very common. Laparoscopic APR or AR can be a better option. This study observed the feasibility of this newer technique for alternative to conventional open method. This prospective type of observational study was comprised of patients with diagnosis of rectal cancer, who admitted to BIRDEM General Hospital for Laparoscopic APR or AR from November 2015 to April 2016. Among 19 patients, age range was from 20-78 years, mean age was 49.84±17.04 years. Male: female ratio was 12:7 (63.2%:36.8%). Twelve (12) patients underwent Laparoscopic APR, 6 Laparoscopic AR, one conversion (conversion rate - 5.3%). Less analgesics were required, a mean of 5.61±1.57 dose/ample/mg opioid injections needed for 4.05 days. An early postoperative ambulation (2.16±0.76 days) was noted. Mean post-operative hospital stay was 11.53±1.98 days. Laparoscopic APR or AR is a safe, effective and technically feasible procedure. It can be a better operative procedure in terms of early postoperative outcome such as less analgesics requirement, early ambulation and shorter hospital stay.