Extended surgery for local recurrence and advanced rectal cancer.
Although much effort has been directed at reducing the incidence of local recurrence after surgical resection of rectal cancer, there remain a significant number of patients who will develop local recurrence without evidence of metastatic disease. Such patients, as well as patients with locally advanced rectal cancer at presentation, may represent a surgical challenge. Application of sound surgical principals and team work can lead to a good long term outcome. This paper sets out to discuss the philosophy and techniques involved in the surgical management of such patients.
Sagar
P M
PM
Department of Colorectal Surgery, General Infirmary at Leeds, Leeds, UK. peter.sagar@leedsth.nhs.uk
D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010385:Pelvic Exenteration; D012004:Rectal Neoplasms / Q000601:surgery; D012447:Sacrum / Q000601:surgery