What is Low or Ultra Low Anterior Resection?
Low Anterior Resection (LAR) and Ultra Low Anterior Resection (ULAR) are advanced surgical procedures used to remove cancerous or diseased portions of the lower rectum, while preserving bowel continuity. These surgeries are primarily performed for rectal cancer, aiming to avoid a permanent colostomy. In most cases, the healthy portion of the colon is reconnected to the remaining rectum or anal canal, allowing patients to maintain normal bowel function.
Who Needs This Surgery?
✅ Mid to low rectal cancer
✅ Rectal polyps not removable by endoscopy
✅ Early-stage tumors with clear margins
✅ Benign conditions like chronic inflammation or strictures
The choice between LAR and ULAR depends on the tumor’s location, size, and how close it is to the anal sphincter.
Laparoscopic Approach for Better Outcomes
Dr. Lalatendu Mahapatra specializes in minimally invasive laparoscopic anterior resection, which uses small incisions and a high-definition camera for precision.
Benefits include:
➡️ Less postoperative pain
➡️ Faster recovery
➡️ Reduced hospital stay
➡️ Minimal scarring
➡️ Better visualization and nerve preservation
What to Expect Before and After Surgery
Before Surgery:
➡️ Detailed imaging and staging tests (MRI, CT, colonoscopy)
➡️ Pre-operative counseling and stoma education (if needed)
➡️ Bowel preparation and blood work
After Surgery:
➡️ Hospital stay of 4–7 days (laparoscopic)
➡️ Gradual return to soft diet
➡️ Postoperative follow-up and monitoring
➡️ Possible temporary changes in bowel habits (LAR syndrome)
In some cases, a temporary ileostomy may be placed to protect the surgical site during healing and is later reversed.
Why Choose Dr. Lalatendu Mahapatra?
With expertise in colorectal and gastrointestinal laparoscopic oncology, Dr. Mahapatra focuses on precise, patient-centric care. His approach prioritizes nerve-sparing, oncologically safe resections, and organ-preserving techniques, resulting in better recovery and long-term outcomes.
Schedule Your Consultation Today
If you’ve been diagnosed with rectal cancer or advised surgical treatment, schedule a consultation with Dr. Lalatendu Mahapatra to explore advanced options like Low or Ultra Low Anterior Resection. Early, expert intervention can make all the difference.
