What is a low anterior resection?
A low anterior resection (LAR) treats cancer in the upper or middle part of the rectum while keeping the anal sphincter, so you can continue to pass stool normally.
Who is it recommended for?
It is used for rectal cancers that are far enough from the anus for the sphincter muscles to be safely preserved.
How the procedure is done
Removal
The surgeon removes the diseased rectum and the surrounding fatty tissue that contains the lymph nodes (total mesorectal excision).
Reconnection
The colon is brought down and joined to the remaining lower rectum.
Protective stoma
A temporary loop ileostomy is often made to protect the join while it heals. It is usually reversed a few months later.
Recovery timeline
- In hospital
You usually stay 4 to 7 days.
- First months
Many people have frequent, urgent bowel movements or difficulty emptying the bowel, known as LAR syndrome.
- 6–12 months
Bowel function usually improves gradually over six to twelve months.
Risks and side effects
The main concern is a leak from the join, which is more likely in rectal surgery because the blood supply deep in the pelvis is lower. Other possible effects include:
- LAR syndrome (bowel urgency and frequency)
- Bladder or sexual function changes
- Problems related to the temporary stoma
Your surgeon will explain the specific risks for your case before you give consent.
What the Low Anterior Resection package includes
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Hospital and medical care
Your private hospital room, nursing care, pre-operative tests, consultations with your surgeon, anaesthesia, the operation itself and the medication you take home.
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VIP transfers
A private driver meets you at the airport and takes you between the airport, your hotel and the hospital.
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Translator and companion
A medical translator at the hospital, and a companion can travel with you at no extra cost.
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Meals and comfort
Daily meals for you and your companion throughout your stay.
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24/7 patient coordinator
A dedicated coordinator answers your questions before, during and after your trip, in your language.
Low Anterior Resection FAQ
Will I have a permanent bag?
Usually not. A temporary stoma is often made to protect the join and is closed a few months later.
Does LAR syndrome get better?
Yes, for most people it improves over six to twelve months. Diet, medication and pelvic floor exercises can help.