ABSTRACT

The most important factor for obtaining long-term local control and survival is R0 resection for rectal cancer. Locoregional relapse may develop in rectal cancer, despite radical surgery. Local pelvic recurrence has been usually associated with morbidity and cancer-related death on the basis of performed procedure. The management of these patients is particularly challenging. Surgical resection is the mainstay of treatment for those with a local recurrence. In surgical treatment for local recurrence, surgeon-related factors are crucial. Careful patient selection according to the pattern of recurrence, area of invasion and presence of symptoms is important for successful curative surgery. Radical surgical treatment with adjuvant therapy may lead to an improved salvage rate. In recent studies, it has been shown that survival will be extended with agressive multimodality treatment methods.