Abstract
The incidence of rectal dissection is increasing with the rise of rectal cancer all over the world. This technique has been used regularly to provide a reasonable quality of life for patients. The concern raised was the functions of these neorectum to replace the original rectum. Several configurations have been suggested namely the straight end-to-end coloanal anastomosis, side-to-end coloanal anastomosis, colonic Jpouch and the transverse coloplasty to suit the anatomy of the deep pelvis. Apparently, there was no difference in terms of functional outcome among all these four types of reconstructions. However, these configurations have seen the emergence of anterior resection syndrome or a pragmatic defaecatory dysfunction as their complications. Furthermore, the neorectum functions are affected by many other factors such as preoperative chemoradiotherapy, septic complications, and others more.
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