Quality of Life after Laparoscopic Sphincter-Preserving Total Mesorectal Excision for Low Rectal Cancer: A Single-Center Prospective Cohort Study in Vietnam

QoL significantly declined during the first three months after surgery but gradually improved and approached baseline levels by month twelve. Early screening for high-risk groups, including patients with severe LARS, habitual alcohol use, and those receiving adjuvant chemotherapy, is essential for timely intervention, symptom management, and improved QoL during the recovery period.