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Only one patient experienced fever (T 38.5°C) after operation. No patients experienced surgical complications greater than Clavien-Dindo grade I. We introduced the usefulness of the MBT to improve TLAC. MBT for intracorporeal anastomosis in TLAC for high-mid rectal cancer is safe and feasible. We introduced the usefulness of the MBT to improve TLAC. MBT for intracorporeal anastomosis in TLAC for high-mid rectal cancer is safe and feasible. Various endoscopic methods have been developed to remove small rectal neuroendocrine tumors