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We report the 10\u2010year risk of definitive stoma after <jats:styled-content style=\"fixed-case\">SSR<\/jats:styled-content> for low rectal cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>From 1994 to 2008, patients with low rectal cancer who were suitable for <jats:styled-content style=\"fixed-case\">SSR<\/jats:styled-content> were analysed retrospectively. Patients were divided into the following four groups: low colorectal anastomosis (<jats:styled-content style=\"fixed-case\">LCRA<\/jats:styled-content>); coloanal anastomosis (<jats:styled-content style=\"fixed-case\">CAA<\/jats:styled-content>); partial intersphincteric resection (<jats:styled-content style=\"fixed-case\">pISR<\/jats:styled-content>); and total intersphincteric resection (<jats:styled-content style=\"fixed-case\">tISR<\/jats:styled-content>). The end\u2010point was the risk of a definitive stoma according to the type of anastomosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 297 patients had <jats:styled-content style=\"fixed-case\">SSR<\/jats:styled-content> for low rectal cancer. The incidence of definitive stoma increased from 11% at 1\u00a0year to 22% at 10\u00a0years. The reasons were no closure of the loop ileostomy (4.7%), anastomotic morbidity (6.5%), anal incontinence (8%) and local recurrence (5.2%). The risk of definitive stoma was not influenced by type of surgery: 26% <jats:italic>vs<\/jats:italic> 18% <jats:italic>vs<\/jats:italic> 18% <jats:italic>vs<\/jats:italic> 19% (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.578) for <jats:styled-content style=\"fixed-case\">LCRA<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> CAA<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> pISR<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">tISR<\/jats:styled-content>, respectively. Independent risk factors for definitive stoma were age &gt;\u00a065\u00a0years and surgical morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The risk of a definitive stoma after <jats:styled-content style=\"fixed-case\">SSR<\/jats:styled-content> increased two\u2010fold between 1 and 10\u00a0years after surgery, from 11% to 22%. Ultralow conservative surgery (<jats:styled-content style=\"fixed-case\">pISR<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">tISR<\/jats:styled-content>) did not increase the risk of definitive stoma compared with conventional <jats:styled-content style=\"fixed-case\">CAA<\/jats:styled-content> or LCRA.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13124","type":"journal-article","created":{"date-parts":[[2015,9,22]],"date-time":"2015-09-22T04:06:44Z","timestamp":1442894804000},"page":"59-66","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":74,"title":["The risk of definitive stoma formation at 10\u00a0years after low and ultralow anterior resection for rectal cancer"],"prefix":"10.1111","volume":"18","author":[{"given":"B.","family":"Celerier","sequence":"first","affiliation":[{"name":"Department of Digestive Surgery CHU Bordeaux Saint Andr\u00e9 Hospital Bordeaux France"},{"name":"Universit\u00e9 Bordeaux 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