Fig. 6

Intraoperative decision flowchart. LAISR laparoscopic intersphincteric resection, TPAISR transabdominal perineal approach for ISR, PAISR transanal pull-through approach for ISR, TAISR transabdominal approach for ISR, APE abdominoperineal excision of the rectum, DRM distal resection margin, BMI body mass index