has found a higher rate of local recurrence after intersphincteric resection with handsewn coloanal anastomosis (ISR-CAA) than with abdominoperineal resection (APR) in patients without a clinical ...

A. Proximal bowel division is performed using linear stapler (The black arrow marks the resection line). B. The rectal specimen is everted out of the body transanally. C. The distal rectal ...