The aim of this study was to assess complications of this procedure and to assess the role of ileostomy. Patients and methods: Retrospective study assembling all cases treated by laparoscopic anterior resection with double-stapling technique anastomosis at University Medical Center from Jan 2008 to June 2009.Results: The study reviewed 98 patients of which 45 subjected to anterior resection and 53 subjected to low anterior resection.