Long Term Outcomes After Laparoscopic Intersphincteric Resection With Total Mesorectal Excision for Low Rectal Cancer.

Long Term Outcomes After Laparoscopic Intersphincteric Resection With Total Mesorectal Excision for Low Rectal Cancer: a Double Blind Randomized Clinical Trial

Through a double blinded study, patients with low rectal cancer will be randomized into two equal groups to compare between the 5 year disease free survival as a primary outcome measure.

Inclusion Criteria:

• Low rectal cancer below 5 cm from the anal verge
• Fit for laparoscopic total mesorectal excsion
• T2, T3 rectal cancer
• No distant metstasis

Exclusion Criteria:

• T1, AND T4
• Distant metastasis
• Tumor infiltrating the dentate line
• unwilling to participate