“…It leads to prolonged hospital stay, increased morbidity, mortality, and medical costs [4]. Anastomotic failure depends on various parameters, ranging from patient to surgical technique and instruments and surgeon's experience [9]. Well-recognized patient risk factors for AL are localization (increased incidence on the distal tract, highest on the lower rectum), previous radiotherapy (locally advanced rectal cancer), emergency operation, male sex, advanced age, diabetes mellitus, vasculopathy, obesity, chronic obstructive pulmonary disease, denutrition, chronic corticosteroidal use, and unknown vascular abnormalities [9].…”