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[Locally recurrent rectal carcinoma].

Th Lehnert1, M Golling, J Buchholz

  • 1Sektion Chirurgische Onkologie, Chirurgische Universitätsklinik Heidelberg. thomas.lehnert@med.uni-heidelberg.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|January 24, 2004
PubMed
Summary
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Surgical treatment for recurrent colorectal cancer offers curative potential. Complete excision is key, despite high morbidity, with a 25% 5-year survival rate post-operation.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Gastrointestinal Surgery

Background:

  • Recurrent colorectal cancer, including locally recurrent rectal cancer, necessitates surgical intervention for curative intent.
  • Surgical procedures for these conditions are complex and demanding.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of surgical treatment for recurrent colorectal cancer.
  • To assess the role of preoperative radiochemotherapy in improving resectability.

Main Methods:

  • Surgical resection for complete tumor excision.
  • Administration of preoperative radiochemotherapy to enhance resectability.

Main Results:

  • Complete excision is achievable, offering curative potential.

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  • Preoperative radiochemotherapy improves resectability but is associated with high operative morbidity.
  • Procedure-related mortality is low, approximately 3%.

    • Conclusions:

    • Surgical treatment with curative intent is warranted for recurrent colorectal cancer.
    • Achieving complete excision is critical for successful outcomes.
    • A 25% 5-year survival rate can be anticipated following complete excision.