Accepted Article This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/codi.13735 This article is protected by copyright. All rights reserved. Article type : Correspondence 057-2017.R1 Correspondence Robotic lower anterior resection for a re-growth following complete clinical response – a video vignette Sofoklis Panteleimonitis 1* , Najaf Siddiqi 1 , Tajwar Nasir 1 , Jamil Ahmed 1 , Nuno Figueiredo 2 , Amjad Parvaiz 1,2 1 Department of Colorectal Surgery, Poole Hospital NHS Foundation Trust, Longfleet Road, Poole, BH15 2JB, United Kingdom 2 Fundação Champalimaud, Lisbon, Portugal * Correspondence: sofoklis_p@hotmail.com Dear Editor, Chemoradiation is increasingly being recognised as an important factor for downstaging rectal cancer before surgery. A proportion of these patients would develop a complete clinical response following neo-adjuvant chemoradiation (1). It is now widely accepted to consider adopting a “watch and wait” policy for patients who have undergone complete clinical response (2,3). However, a closely followed protocol including clinical, endoscopic and magnetic resonance imaging (MRI) assessment is an essential component of the “watch and wait” policy (3). Up to 30% of patients who have undergone complete clinical response would undergo regrowth’s requiring surgical resection (1–3). Minimally invasive surgery remains an option as a treatment modality. Robotic surgical systems offer excellent 3-dimensional views, tremor filtering and angulated instruments with 7- degrees of freedom (4,5). These chattels enable precise dissection in narrow surgical spaces such as the pelvis, which in turn could better enable preservation of the pelvic hypogastric nerves. It is speculated that this might lead to superior urogenital post-operative outcomes when compared to other modes of surgery (6–8).