Sphincter preservation surgery in low rectal cancer has been increased due to better
understanding of tumor biology and advances in surgical technology. Furthermore, a majority
of patients prefer sphincter preservation rather than living with permanent colostomy. But it
is not clear whether sphincter preservation is directly related with better quality of life.
There have been many studies comparing sphincter preservation surgery and abdominoperineal
resection in many aspects including oncologic and functional outcomes, and the quality of
life. However, the conclusion remains controversial because of the different results between