title: Surgical options for locally recurrent rectal cancer--review and update.
abstract: Locally recurrent rectal tumours in the pelvis are found in about 6% following treatment for rectal cancer. This type of tumour can cause serious local complications and symptoms. The aim of modern surgical oncology is to offer a curative treatment option embedded in an interdisciplinary network of specialities to the patient. Due to advancements in surgical techniques and procedures, especially regarding surgical reconstruction, the possibilities of a curative treatment regarding recurrent cancers have been expanded and established. To aim for a curative treatment one must introduce a multimodal therapy including radio- and chemotherapy, and a radical oncological surgery with en bloc resection of the tumour and affected surrounding organs to achieve a R0-resection.
authors.affiliation: University Department of General and Visceral Surgery, European Medical School, Klinikum Oldenburg, Rahel-Strauss-Str.10, Oldenburg, 26133, Germany, troja.achim@klinikum-oldenburg.de.
authors.forename: A
authors.initials: A
authors.lastname: Troja
authors.forename: N
authors.initials: N
authors.lastname: El-Sourani
authors.forename: A
authors.initials: A
authors.lastname: Abdou
authors.forename: D
authors.initials: D
authors.lastname: Antolovic
authors.forename: H R
authors.initials: HR
authors.lastname: Raab
mesh_terms: D059186:Chemoradiotherapy, Adjuvant; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000601:surgery* / Q000628:therapy; D010166:Palliative Care; D010385:Pelvic Exenteration; D012004:Rectal Neoplasms / Q000601:surgery* / Q000628:therapy