title: [Surgical treatment of rectal cancer].
abstract: Based on natural history, the localization, stage and grading of rectal carcinomas the abdomino-perineal excision is no longer the routine procedure. Over 50% of the patients should be suitable for a sphincter saving operation. Local excision is justified under certain circumstances. The morbidity and lethality of the operation have decreased considerably; the cure rate has not changed during the past decade. Future improvements may be expected from new adjuvant treatments, individualization of adjuvant therapy and more aggressive surgical therapy.
mesh_terms: D003131:Combined Modality Therapy; D006801:Humans; D008722:Methods; D010166:Palliative Care; D011379:Prognosis; D012004:Rectal Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D012007:Rectum / Q000601:surgery*
vernacular_title: Die chirurgische Therapie des Rektumkarzinoms.