Hi folks - I had posted something on LAR surgery a few days ago...continuing to assess things. T2N0M0 clinically tagged. Assessing LAR or Transanal excision. Seems to come down to going with a less invasive surgery with better post op quality of life, but with the unknowns on lymph involvement vs LAR with possible LARS, temp ileostomy, longer recovery road...but with knowing lymph status. If positive, then that is the worry area same as with the unknown worry from excision. Surgeon has discussed both options and seems tied to my tolerance for risk and unknowns. I know LAR is the "standard", but given my stage is it overkill vs doing excision? Surgeon also seems more concerned with distant recurrence than local with either option, especially if LAR with positive lymph. If positive and post op chemo is there still reason to be worried?? Appreciate any input.
Tx