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The patient is survive 17 months after Lap-TPE. Preoperative chemoradiotherapy(CRT)followed by total mesorectal excision(TME)is used for locally advanced rectal cancer, but it can induce postoperative anorectal function. The primary objective of this study is to confirm the efficacy and safety of preoperative CRT and TME without irradiation to the internal and external sphincter muscles. Patients were eligible for this study if they met the following inclusion criteria histologically proven rectal cancer, clinical T3T4N0-2 disease, and a