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A questionnaire including 20 questions about different aspects of subperitoneal rectal cancer was sent to 2200 fellows of
Italian Society of Surgery.
The answers were compared with International guidelines and with more recent metaanalyses from the literature. On
the whole less than half of Italian surgeons fulfil the terms of the guidelines and the prevalent trend of the International
literature. This behaviour concerns the choice of surgical procedure and prevention and diagnosis of anastomotic fistulas.