Multimodal Treatment of Recurrent Pelvic Colorectal Cancer

  • Giovanni Maria Romano

Part of the Updates in Surgery book series (UPDATESSURG)

Table of contents

  1. Front Matter
    Pages i-xvii
  2. Aldo Infantino, Andrea Lauretta
    Pages 1-13
  3. Filippo La Torre, Giuseppe Giuliani
    Pages 15-24
  4. Antonella Petrillo, Roberta Fusco, Orlando Catalano
    Pages 25-38
  5. Secondo Lastoria, Luigi Aloj, Corradina Caracò, Raffaele Farese, Anna Morisco
    Pages 39-48
  6. Valentina Borzillo, Sara Falivene, Vincenzo Ravo, Rossella Di Franco, Paolo Muto
    Pages 49-55
  7. Anna Nappi, Gugliemo Nasti, Alessandro Ottaiano, Antonino Cassata, Carmela Romano, Rossana Casaretti et al.
    Pages 57-63
  8. Andrea Belli, Francesco Bianco, Silvia De Franciscis, Giovanni M. Romano
    Pages 65-77
  9. Dajana Cuicchi, Ferdinando Lecce, Barbara Dalla Via, Emilio De Raffele, Mariateresa Mirarchi, Bruno Cola
    Pages 79-94
  10. Giuseppe Quarto, Raffaele Muscariello, Domenico Sorrentino, Sisto Perdonà
    Pages 95-102
  11. Stefano Mori, Cinzia Sassaroli, Gianluca Di Monta, Giovanni M. Romano
    Pages 103-135
  12. Filippo La Torre, Marco La Torre
    Pages 137-147
  13. Maria Di Lena, Rosa Digennaro, Donato F. Altomare
    Pages 149-158
  14. Marco Cascella, Francesca Bifulco, Barbara Di Caprio, Arturo Cuomo
    Pages 159-167
  15. Salvatore Pucciarelli, Andrea Barina, Antonio Rella
    Pages 169-178
  16. Paolo Delrio, Daniela Rega, Cinzia Sassaroli, Fulvio Ruffolo
    Pages 179-186

About this book


This book analyzes all aspects of modern multimodal treatment of locally recurrent rectal cancer in the pelvis in order to offer a panoramic overview of the different therapeutic options and enable the reader to balance their benefits and drawbacks. Indications for surgery and the surgical techniques themselves, including reconstruction techniques after major exenterative surgery, are clearly described and evaluated. The role of new imaging tools, such as MRI and PET-CT, in staging recurrences and guiding therapy is assessed, and detailed consideration is given to the use of neoadjuvant and iterative radiotherapy and the indications for systemic chemotherapy. Morbidity, mortality, oncologic outcomes, and quality of life issues are carefully analyzed, and options for pain control and palliation are examined. Finally, a national survey is presented on the state of the art in the surgical treatment of locally recurrent rectal cancer in Italy.  While there has been a dramatic fall in the incidence of local pelvic recurrences, their treatment remains a major clinical challenge which requires a multidisciplinary approach and careful selection of the most appropriate strategy in each case. This book will aid practitioners in making the correct decisions in individual patients.


Chemotherapy for colorectal cancer Locally recurrent colorectal cancer Pelvic exenteration Radiotherapy for colorectal cancer Surgery for colorectal cancer Urological reconstruction

Editors and affiliations

  • Giovanni Maria Romano
    • 1
  1. 1.Gastrointestinal Surgical Oncology Department of Abdominal OncologyIstituto Nazionale Tumori - IRCCS Fondazione G. PascaleNaplesItaly

Bibliographic information

  • DOI
  • Copyright Information Springer-Verlag Italia 2016
  • Publisher Name Springer, Milano
  • eBook Packages Medicine
  • Print ISBN 978-88-470-5766-1
  • Online ISBN 978-88-470-5767-8
  • Series Print ISSN 2280-9848
  • Series Online ISSN 2281-0854
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals
Surgery & Anesthesiology