INTRODUCTION Low anterior resection is usually the procedure of choice for rectal cancer, but a series of complications often accompany this procedure. This case report describes successful management of an intricate anastomotic leak after a low anterior resection. CASE PRESENTATION A 66-year-old Caucasian man was admitted to our hospital and diagnosed with a low rectal adenocarcinoma. He und...

To the Editor:Minsky,1 in his recent Editorial, suggested that "A well-functioning colostomy may offer a better quality of life than a poorly functioning sphincter". After this statement, he referred to Grumann et al’s study2 that concluded "Patients undergoing low AR [anterior resection] have a lower QoL [quality of life] than those undergoing APE [abdominoperineal extirpation]." First, Minsky...

fistula after low anterior resection for rectal cancer is difficult and requires reconstruction of the anastomotic site and fistula. The results of reconstructive operation are often unsatisfactory. Herein, we describe our reconstruction technique using the posterior approach through the vaginal lumen for a high rectovaginal fistula repair. This reconstructive operation is useful for postoperat...

Aim Little is known about the pathophysiology of low anterior resection syndrome (LARS), and evidence concerning management patients diagnosed with this condition scarce. The aim LARS Expert Advisory Panel was to develop practical guidance for healthcare professionals dealing LARS. Method ‘Management guidelines syndrome’ (MANUEL) project promoted by a team eight experts in assessment After face...