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A 26 year old female with a large cecal polyp and rectal adenocarcinoma involving the spincter in the setting of newly discovered familial adenomatous polyposis undergoes a hybrid laparoscopic/robotic total colectomy with extralevator abdominoperineal resection. An oncologic colon resection with high vessel ligation is performed laparoscopically followed by robotic e-APR. Total mesorectal excision is performed and the levator fibers are divided at their origin laterally on the pelvic side wall. The dissection is carried out in the ischiorectal space as far distally as possible utilizing the robotic arms. This video emphasizes the technique, feasibility and safety of this procedure.