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6days; p0.001), at the cost of increased operative time (239min vs. 210 min, p0.001). The difference in operative time between laparoscopy and open surgery did not increase with rising BMI (i.e., ∆37min vs. ∆39min at BMI 25kg/m vs 50kg/m , respectively, p=0.491). BMI may not be a strong modifier for surgical approach with respect to short-term clinical outcomes in patients with obesity and rectal cancer. Laparoscopic surgery was associated with improved short-term clinical outcomes, without much change in the absolute difference in oper