Intestine and Lower Gastrointestinal Tract · 10 June 2026

Comparing LAR and APR for Low Rectal Cancer Outcomes

Surgeons face critical choices between low anterior resection (LAR) and abdominoperineal resection (APR) for low rectal cancer, as outcomes vary and affect patient quality of life.

No significant long-term difference in overall quality of life: LAR (68.3) vs. APR (71.2).
Major low anterior resection syndrome impacted 44.9% of LAR patients; 31.3% of APR patients reported poor stoma-related quality of life.

Individual patient priorities must shape surgical decisions to optimize outcomes.

Factors like neoadjuvant chemoradiotherapy and tumor distance ≤3 cm are linked to major low anterior resection syndrome.

Journal Article by Ju J, Li Y, He Q and Wang Y in World J Surg

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