- New diagnosis of histologically confirmed adenocarcinoma of the rectum
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Clinical stage cT1 (high-risk), T2, or T3, cN0, N1, N2 on staging pelvic MRI
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Negative predicted CRM on staging pelvic MRI
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No evidence of metastasis on CT scans of the chest, abdomen and pelvis
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Rectal cancer located within 10 cm from the anal verge based on proctoscopy and digital rectal examination (DRE)
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Complete preoperative colonoscopy demonstrating no synchronous colon cancer
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Eastern Cooperative Oncology Group (ECOG) performance status <2 (Karnofsky = >60%)
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Eligible to undergo laparoscopic or robotic LAR with or without a temporary diverting stoma, based on multidisciplinary tumor board consensus
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Able to understand and willing to sign a written informed consent form
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