Indications for Surgery and Surgical Techniques

  • Andrea Belli
  • Francesco Bianco
  • Silvia De Franciscis
  • Giovanni M. RomanoEmail author
Part of the Updates in Surgery book series (UPDATESSURG)


At the present time, there are no uniform guidelines for treating locally recurrent rectal cancer (LRRC), and patients affected by local recurrence should be referred exclusively to tertiary centers where all expertise needed to provide patients with optimal treatment is available. In fact, there are a number of different options for treating LRRC that should be evaluated in a multidisciplinary team workup of individual cases. Recurrence location and extent, together with the evaluation of previously administered treatment, should be taken into account when determining the appropriate treatment strategy. Systemic chemotherapy, radiotherapy (RT), radiochemotherapy (RCT), and surgery — alone or in combination — can all play a role in achieving cure, long-term overall survival (OS), and palliation. In the vast majority of studies, 40–50% of patients with local recurrence are considered amenable to surgical exploration; 30–40% of them are reported to have had an R0 resection [1, 2]. This implies that just 20–30% of patients with recurrent rectal cancer will undergo a potentially curative resection, but these data are affected by selection criteria and surgical expertise at the different reporting institutions.


Pelvic Exenteration Recurrent Rectal Cancer Locally Recurrent Rectal Cancer Great Sciatic Notch Internal Iliac Vessel 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Italia 2016

Authors and Affiliations

  • Andrea Belli
  • Francesco Bianco
  • Silvia De Franciscis
  • Giovanni M. Romano
    • 1
    Email author
  1. 1.Gastrointestinal Surgical Oncology Department of Abdominal OncologyIstituto Nazionale Tumori - IRCCS Fondazione G. PascaleNaplesItaly

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