Biondo S, et al. – This randomized controlled study intended to discover whether patients that underwent ultra–low rectal resection for cancer could benefit from the recently reintroduced two–stage Turnbull–Cutait abdominoperineal pull–through procedure. In the current approach to the treatment of low rectal cancer without the need of a temporary loop colostomy, the two–stage Turnbull–Cutait coloanal anastomosis could constitute an effective surgical alternative, preventing the wide range of complications related to stoma surgery.