To the Editor We congratulate Biondo et al1 for what is, to our knowledge, the first randomized clinical trial (RCT) comparing classic coloanal anastomosis (CAA) with ileostomy with the 2-stage Turnbull-Cutait pull-through coloanal anastomosis (CTA) after ultralow rectal resection. Authors showed that CTA had nonsignificant lower complications rates (37.8% vs 45.7%; P = .40), lower anastomotic leakage (AL) rate (13% vs 23.9%; P = .20), and similar functional results at 1 year.1 However, there are 3 specific considerations in comparing the 2 techniques that we would like to highlight.
Majbar AM, Benkabbou A, Souadka A. Two-Stage Turnbull-Cutait Pull-Through Coloanal Anastomosis for Low Rectal Cancers. JAMA Surg. 2021;156(2):200–201. doi:10.1001/jamasurg.2020.5165
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