Risk factor for permanent stoma and incontinence quality of life after sphincter-preserving surgery for low rectal cancer without a diverting stoma.

35 Our institution has formed a diverting stoma in patients treated with preoperative radiotherapy based on poor healing of the anastomosis region, and a diverting stoma may be significant for prevention of anastomotic leakage in female patients treated with preoperative radiotherapy. 36 In contrast, favorable local outcomes have been reported in Europe for rectal cancer treated with surgery alone without preoperative treatment, with selection of patients based on preoperative high‐resolution MRI. 37 Patients similar to the subjects in the current study are likely to increase worldwide, and thus our results may be significant, despite the above limitations. 5.

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