The disadvantage of this procedure is that the rectum is left in situ and there is a risk of development of cancer in the rectum. About 15% will devlop rectal cancer over the next 20 years.
The advantages of this procedure are; the operation is simpler than a pouch and is one stage, so there is less time in hospital and less pain and risk of operative morbidity. Preservation of the rectum gives a low frequency of bowel motions and excellent continence.