Seminars in Colon & Rectal Surgery
Volume 19, Issue 1 , Pages 20-25, March 2008

Outcomes after Local Excision for Rectal Cancer

  • Scott R. Steele, MD

      Affiliations

    • Department of Surgery, Madigan Army Medical Center, Tacoma, Washington.
  • ,
  • Anders Mellgren, MD, PhD

      Affiliations

    • Division of Colon and Rectal Surgery, University of Minnesota, Minneapolis, Minnesota.
    • Corresponding Author InformationAddress reprint requests to Anders Mellgren, Division of Colon & Rectal Surgery, University of Minnesota, 606 24th Avenue South, #515, Minneapolis, MN 55454.

Despite its widespread use, the role of local excision for early rectal cancer as a curative therapy remains controversial. Studies are often plagued with low patient numbers, limited follow-up, or heterogeneous populations. In addition, problems with inaccurate staging, inadequate resection margins, and patient selection have limited the ability to interpret, compare, and generalize results. This article will focus on reported outcomes of local excision for early rectal cancer and discuss suggested guidelines.

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PII: S1043-1489(08)00006-7

doi:10.1053/j.scrs.2008.01.005

Seminars in Colon & Rectal Surgery
Volume 19, Issue 1 , Pages 20-25, March 2008