IRCT20141218020364N9 IRCT 2018-09-22 Mazandaran University of Medical Sciences Efficacy of Appendicostomy in reducing the psychological complications of rectal cancer patients undergoing inter-sphincter very low anterior resection Comparative study of functional and quality of life outcomes in patients with very low rectal cancer undergoing an inter sphincter resection with and without appendicostomy 2016-12-21 anticipated 50 Complete https://irct.ir/trial/33318 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Simple individual randomization using the table of random numbers. N/A Rectal cancer. Intervention 1: Intervention group: Appendicostomy: Surgery is done in two steps.first, after the release of the descending colon, the inferior mesenteric artery and vein are high lighted. The sigmoid colon is removed from the middle portion. Then the perineal phase is done and throws intersphincter groove complex of ithe nternal anal sphincter and the rectum and distal sigmoid are resect then end to end coloanal anastomosis using PDS 3.0 will be done. At the same time, an appendicostomy is inserted for the patient.T o do this, the appendix is dissected and the longitudinal incision of the distal appendices is done, then, in right lower quadrant skin U shape incision is performed and anti mesenteric edges are sutured to the skin with 4-0 absorbable. A small catheter is placed in the appendicostomy for a week and the first antegrade enema with one litre of water is done. The necessary care and method of using appendicostomy is given to patients before discharge. Intervention 2: Control group: without appnndicostomy: first, after the release of the descending colon, the inferior mesenteric artery and vein are high lighted. The sigmoid colon is removed from the middle portion. Then the perineal phase is done and throws intersphincter groove complex of the internal anal sphincter and the rectum and distal sigmoid are resect then end to end coloanal anastomosis using PDS 3.0 will be done. Yes - There is a plan to make this available What will be shared: The questionnaire of patients When: At the same as the results To whom: University researchers Conditions: ... Where to obtain: Sari Imam Khomeini Hospital How to obtain: ... Comments: