title: Surgical management of pelvic recurrence from resected rectal cancer: technical aspects.
abstract: Management of local-regional recurrences of primary rectal cancer (LRR) by a multi-disciplinary surgical team (GI, urological and plastic surgeons) is presented. Aggressive treatment involving surgical debulking and intra operative radiation can result in local control and long term survival in 10 to 20% of the patients with a low mortality and morbidity. Sequelae caused by the extended surgical resection are limited thanks to the fast healing following omentoplasty associated with musculo cutaneous flaps and to the fashioning of a continent stoma.
authors.affiliation: Département de Chirurgie Générale et Digestive, l'Hopital, Lyon.
authors.forename: P
authors.initials: P
authors.lastname: Berard
authors.forename: C
authors.initials: C
authors.lastname: Gouillat
authors.forename: F
authors.initials: F
authors.lastname: Rivoalan
authors.forename: M
authors.initials: M
authors.lastname: Henriet
authors.forename: P
authors.initials: P
authors.lastname: Neyra
mesh_terms: D003131:Combined Modality Therapy; D006801:Humans; D010386:Pelvic Neoplasms / Q000556:secondary / Q000601:surgery*; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*