We present 217 laparoscopic TME with sphincter-saving. Conversion rate was 5.9%. Overall 30-days morbidity rate was 31.3% (anastomotic leak 17.5%) without mortality. Mean hospital stay was 8.6 days. After a median follow-up of 72 months, local recurrence rate was 5.9%. Laparoscopic TME is a safe procedure respect surgical outcome and local control.