“…Indeed, preserving the rectum through local excision may offer advantages by avoiding radical resection and its associated long-term effects, such as low anterior resection syndrome (LARS) [ 8 ]. LARS can manifest as various symptoms, including bowel dysfunction, urgency, frequency, incontinence, and altered bowel habits, all of which can significantly impact a patient’s quality of life [ 9 ]. By performing local excision and preserving the rectum, the potential negative effects of LARS can be minimized or avoided.…”