Surgery for recurrent rectal cancer: higher and wider?
Article first published online: 25 JAN 2013
© 2012 The Authors. Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland
Volume 15, Issue 2, pages 139–145, February 2013
How to Cite
Harji, D. P., Griffiths, B., McArthur, D. R. and Sagar, P. M. (2013), Surgery for recurrent rectal cancer: higher and wider?. Colorectal Disease, 15: 139–145. doi: 10.1111/j.1463-1318.2012.03076.x
- Issue published online: 25 JAN 2013
- Article first published online: 25 JAN 2013
- Accepted manuscript online: 7 MAY 2012 11:26AM EST
- Received 19 September 2011; accepted 4 January 2012; Accepted Article online 7 May 2012
- Rectal cancer;
- pelvic exenteration
Aim There has been a steady increase in the number of centres that carry out resection of locally recurrent rectal cancer (LRRC). The aim of this review was to highlight the present management and suggest technical strategies that may improve survival and quality of life.
Method The review identified relevant studies from an electronic search of MEDLINE and PubMed databases between 1980 and 2011. References in published articles were also reviewed.
Results Surgical intervention offers the best hope to control LRRC but the proportion of patients offered this remains small. Certain contraindications previously considered to be absolute should now be thought of as relative.
Conclusion Awareness of the surgical options and a willingness to consider more aggressive options may result in more patients being considered for potentially curative resection.