TY - JOUR
T1 - Multidisciplinary approach to recurrent/unresectable rectal cancer
T2 - How to prepare for the extent of resection
AU - Rodriguez-Bigas, Miguel A.
AU - Chang, George J.
AU - Skibber, John M.
PY - 2010/10
Y1 - 2010/10
N2 - Local recurrence from rectal cancer is a complex problem that should be managed by a multidisciplinary team. Pelvic reirradiation and intraoperative radiation should be considered in the management of these patients. Long-term survival can be achieved in patients who undergo radical surgery with negative margins of resections. The morbidity of these procedures is high and at times may compromise quality of life. Palliative surgical procedures can be considered; however, in some cases, palliative resections may not be better than nonsurgical palliation.
AB - Local recurrence from rectal cancer is a complex problem that should be managed by a multidisciplinary team. Pelvic reirradiation and intraoperative radiation should be considered in the management of these patients. Long-term survival can be achieved in patients who undergo radical surgery with negative margins of resections. The morbidity of these procedures is high and at times may compromise quality of life. Palliative surgical procedures can be considered; however, in some cases, palliative resections may not be better than nonsurgical palliation.
KW - Abdominosacral resection
KW - Intraoperative radiation
KW - Pelvic exenteration
KW - Recurrent rectal cancer
UR - http://www.scopus.com/inward/record.url?scp=77957145193&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77957145193&partnerID=8YFLogxK
U2 - 10.1016/j.soc.2010.07.001
DO - 10.1016/j.soc.2010.07.001
M3 - Review article
C2 - 20883958
AN - SCOPUS:77957145193
SN - 1055-3207
VL - 19
SP - 847
EP - 859
JO - Surgical oncology clinics of North America
JF - Surgical oncology clinics of North America
IS - 4
ER -