Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	107525
Country	China

Category	Surgery
Manuscript Type	Evidence Review
Article Title	Sphincter-preserving surgical techniques in low rectal cancer management: A systematic review of contemporary evidence
Manuscript Source	Invited Manuscript
All Author List	Song Wang, A-Jian Li, Hui-Hong Jiang, Yin Lin and Hai-Bo Ding
Funding Agency and Grant Number
Corresponding Author	Hai-Bo Ding, PhD, Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, No. 450 Tengyue Road, Shanghai 200090, China. 2812097576@qq.com
Key Words	Low rectal cancer; Sphincter-preserving surgery; Minimally invasive techniques; Functional reconstruction; Quality of life
Core Tip	The adoption of total mesorectal excision (TME) principle and better understanding of circumferential resection margin have led to the development of various sphincter-preserving surgeries, such as local excision, Dixon surgery, intersphincteric resection, etc. Minimally invasive methods such as laparoscopic, robotic and natural orifice transluminal endoscopic surgery improve operational precision and postoperative recovery. New perineal reconstruction techniques also benefit some patients. However, the high incidence of low anterior resection syndrome (LARS) and its sequelae are notable. Long-course neoadjuvant radiotherapy and TME are key risk factors for LARS.
Citation	Wang S, Li AJ, Jiang HH, Lin Y, Ding HB. Sphincter-preserving surgical techniques in low rectal cancer management: A systematic review of contemporary evidence. World J Gastrointest Surg 2025; In press

Received	2025-03-30 10:57
Peer-Review Started	2025-03-30 10:58
To Make the First Decision
Return for Revision	2025-04-08 12:48
Revised	2025-04-17 16:14
Second Decision	2025-05-28 02:40
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-05-28 08:43
Articles in Press	2025-05-28 08:43
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright	© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com