To the Editor We read with great interest the article by Biondo et al1 comparing outcomes of hand-sewn coloanal anastomosis and 2-stage Turnbull-Cutait pull-through technique (TCA) for low rectal cancers. It demonstrated a similar 30 days’ overall postoperative morbidity (34.8% with TCA vs 45.7% with standard coloanal hand-sewn anastomosis and diverting ileostomy) as well as functional outcomes and survival in 1 year.