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049). There were no significant differences between the groups in other surgical parameters or oncological outcomes. CONCLUSION Laparoscopic surgery after endoscopic treatment for rectal cancer may be difficult due to an increased risk of intra-operative bleeding. Long-term prognosis after surgery was not affected by preceding endoscopic treatment in rectal cancer. Colorectal Disease © 2020 The Association of Coloproctology of Great Britain and Ireland.Air suspension and alignment are fundamental requirements to make t