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The advantages of low anterior resection include the removal of abnormal or cancerous tissue from the distal rectum, as well as the ability to preserve bowel continuity after surgery and maintain normal bowel function.
If you notice blood in your stool, have ongoing changes in your bowel habits, if you unexpectedly lose weight, if your stomach hurts, or if you’re diagnosed with rectal cancer, you should talk with your doctor.
In preparing for low anterior resection surgery, you’ll need to have a medical evaluation; have laboratory tests completed (blood work); have an imaging scan performed (X-ray/MRI); have a colonoscopy; be on a bowel prep diet prior to surgery; and have an assessment of your anesthesia needs.
During the operation, the surgeon removes the diseased part of the rectum and reconnects the remaining healthy part of the colon. This will enable the patient to have a functioning colon after surgery. Low anterior resection surgery can be done through open surgery, laparoscopic surgery, or robotic-assisted surgery with the patient under general anesthesia.
It includes complete removal of rectal cancer or diseased tissue, preservation of bowel continuity, avoidance of permanent colostomy in many patients, improved survival and disease control, and better quality of life
After surgery, patients are typically instructed to begin walking within 24 hours. The patient's diet will be gradually transitioned from liquid to solid foods. Controlling the patient's pain level, caring for the surgical site, and monitoring bowel function will be essential areas of follow-up. Most patients can return to their normal activities after approximately 6-8 weeks of regular postoperative follow-up and care.
LAR has a high overall success rate for treating rectal cancer, with five-year survival rates typically above 80% for local and early-stage cancers, and local recurrence rates of less than 10%-15%, particularly with the application of advanced surgical techniques such as TME.
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