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Surgical Treatment of Rectal Cancer

  • Ronald Bleday
  • Nelya Brindzei
Chapter

Abstract

Approximately 42,000 patients each year are diagnosed with rectal cancer in the USA. Approximately 8,500 die of this disease. Despite remarkable recent advances in new oncologic agents for the treatment of colon and rectal cancer, cure is almost never achieved without surgical resection. However, the current management of rectal cancer is now more varied and complex because of the new approaches with multimodality therapy and the refinements in surgical techniques. For example, small distal rectal cancers with minimal invasion can be treated with a local excision with or without adjuvant therapy. More proximal or more invasive tumors require a “radical” resection. The two most common procedures are the low anterior resection (LAR) and the abdominoperineal resection (APR). Extended resections are occasionally required for patients with cancers that invade or adhere to adjoining structures such as the sacrum, pelvic sidewalls, prostate, or bladder.

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Copyright information

© ASCRS (American Society of Colon and Rectal Surgeons) 2011

Authors and Affiliations

  • Ronald Bleday
    • 1
  • Nelya Brindzei
    • 1
  1. 1.Department of SurgeryBrigham and Women’s HospitalBostonUSA

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