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Prophylactic surgery for cancer prevention of familial adenomatous polyposis yields good short-term surgical outcomes, with low morbidity rates, good functional outcomes, and excellent overall survival rates. Rectal preservation is the surgical choice when the rectal lesions are endoscopically addressable. Furthermore, transanal retrieval of the specimen may prevent additional abdominal incisions and their associated complications. On June 8th 2017 at 3:30pm (Barcelona Time), Dr. Antonio Lacy and his team from Hospital Clinic in Barcelona performed a live total colectomy with rectal preservation for a familial adenomatous polyposis. Join us and discover the tips and tricks for this technique step by step!