الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Recently, rectal cancer has been a significant leading cause of death from malignancies world wide.
Eradication of malignancy with preservation of function are major goals in rectal cancer surgery especially when dealing with low rectal cancer, sacrifice of the anal sphincter should never be the rule in it’s management.
The advantages of minimal access surgery in general are applicable to laparoscopic rectal surgery. They include less pain, Lower narcotic requirements, a shorter period of ileus, a shorter hospitalization, a shorter duration of disability, and a much better cosmetic result.
More ever, the laparoscope rectal surgery offers excellent deep pelvic visualization and magnification, to facilitate mobilization of the rectum, identification of pelvic nerves and high ligation of the inferior mesenteric artery.
Although, there is a reduction in sensory feed back with both a loss of tactile sensation and stereoscopic vision high conversion rates, more costly compared to open surgery especially direct costs, increase operative time and laparoscopic rectal surgery is technically difficult and therefore associated with considerable learning curve.
Conclusions
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CONCLUSIONS
Laparoscopic sphincter saving resection for low rectal carcinoma can be performed with techniqual efficiency, adequacy of resection margins, good functional outcome and low short term post-operative complications. But should be performed only by surgeons who have completed appropriate training in the technique and who perform this procedure often enough to maintain competence.