Abstract: Objective: To summarize the clinical results of hand -assisted laparoscopical abdominoperied resection of rectal cancer. Methods: 17cases of rectal cancer were operated on with hand -assisted laparoscopically. Results: All cases were underwent successfully and no complication was observed.The number of resected lymph nodes and resection margins were sufficient.No port metastases were observed.Patients recovered quicker and first bowel movement were earlier,postoperational flatus and feces were passed at 29.4hours.Pain at rest and in motion was significantly reduced and postoperational hospital stay were shorter (7.6days). Conclusion: Our study demonstrates that hand -assisted laparoscopical abdominoperied resection of rectal cancer can be safely performed and have advantages over traditional resection with the same oncologic results achieved.