Psychological and Enterostomal Therapy Care

Inclusion Criteria: * Age \> 18 y * Rectal adenocarcinoma (tumor height \< 15 cm from the anal verge) with or without pre operative radiochemotherapy. * Open or laparoscopic rectal excision with partial or total meso rectal excision with sphincter preservation by colo rectal or colo anal anastomosis. * Temporary stoma. * Patient consent * Patient with national health affiliation Exclusion Criteria: * Stage IV disease with synchronous hepatic or pulmonary metastases * Colonic cancer \> 16 cm * Associated surgical procedure (Hepatic resection, small bowel resection subtotal colectomy) * Abdominal perineal resection * Associated comorbidity * Emergency surgery * Psychological care refusal