Skip to main content
SpringerLink
Log in

Salvage Surgery

  • Chapter
  • First Online:
Surgical Treatment of Colorectal Cancer

  • 1254 Accesses

Abstract

With increasing prevalence of colorectal cancer, local recurrence is becoming part of every colorectal surgeon’s practice. Treatment options has been limited in the past, and mainly limited to palliative intent. A recent advance in surgical technique has opened new options with curative intent. Extended resection allows for R0 resection with clear margins with acceptable morbidities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Heald RJ, RDH R. Recurrence and survival after total mesorectal excision for rectal cancer. Lancet. 1986;327(8496):1479–82.

    Article  Google Scholar 

  2. Kapiteijn E, Marijnen CAM, Nagtegaal ID, Putter H, Steup WH, Wiggers T, et al. Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer. https://doi.org/10.1056/NEJMoa010580. Massachusetts Medical Society; 2009.

  3. Sagar PM, Pemberton JH. Surgical management of locally recurrent rectal cancer. Br J Surg. 1996;83(3):293–304.

    Article  CAS  PubMed  Google Scholar 

  4. Heriot AG, Tekkis PP, Darzi A, Mackay J. Surgery for local recurrence of rectal cancer. Colorectal Dis. 2006;8(9):733–47.

    Article  CAS  PubMed  Google Scholar 

  5. Boyle KM, Sagar PM, Chalmers AG, Sebag-Montefiore D, Cairns A, Eardley I. Surgery for locally recurrent rectal cancer. Dis Colon Rectum. 2005;48(5):929–37.

    Article  PubMed  Google Scholar 

  6. Du P, Burke JP, Khoury W, Lavery IC, Kiran RP, Remzi FH, et al. Factors associated with the location of local rectal cancer recurrence and predictors of survival. Int J Colorectal Dis. 2016;31(4):825–32.

    Article  PubMed  Google Scholar 

  7. Hogan NM, Joyce MR. Surgical management of locally recurrent rectal cancer. Int J Surg Oncol. 2012;2012(12):1–6.

    Google Scholar 

  8. Ito Y. Efficacy of chemoradiotherapy on pain relief in patients with intrapelvic recurrence of rectal cancer. Jpn J Clin Oncol. 2003;33(4):180–5.

    Article  PubMed  Google Scholar 

  9. Sasikumar A, Bhan C, Jenkins JT, Antoniou A, Murphy J. Systematic review of pelvic exenteration with en bloc sacrectomy for recurrent rectal adenocarcinoma: R0 resection predicts disease-free survival. Dis Colon Rectum. 2017;60(3):346–52.

    PubMed  Google Scholar 

  10. Rizzuto A, Palaia I, Vescio G, Serra R, Malanga D, Sacco R. Multivisceral resection for occlusive colorectal cancer: is it justified? Int J Surg. 2016;33:S142–7.

    Article  PubMed  Google Scholar 

  11. Bhangu A, Ali SM, Darzi A, Brown G, Tekkis P. Meta-analysis of survival based on resection margin status following surgery for recurrent rectal cancer. Colorectal Dis. 2012;14(12):1457–66.

    Article  CAS  PubMed  Google Scholar 

  12. Radwan RW, Codd RJ, Wright M, Fitzsimmons D, Evans MD, Davies M, et al. Quality-of-life outcomes following pelvic exenteration for primary rectal cancer. Br J Surg. 2015;102(12):1574–80.

    Article  CAS  PubMed  Google Scholar 

  13. Rausa E, Kelly ME, Bonavina L, O’Connell PR, Winter DC. A systematic review examining quality of life following pelvic exenteration for locally advanced and recurrent rectal cancer. Colorectal Dis. 2017;19(5):430–6.

    Article  CAS  PubMed  Google Scholar 

  14. Chew M-H, Brown WE, Masya L, Harrison JD, Myers E, Solomon MJ. Clinical, MRI, and PET-CT criteria used by surgeons to determine suitability for pelvic exenteration surgery for recurrent rectal cancers. Dis Colon Rectum. 2013;56(6):717–25.

    Article  PubMed  Google Scholar 

  15. Moore HG, Shoup M, Riedel E, Minsky BD, Alektiar KM, Ercolani M, et al. Colorectal cancer pelvic recurrences: determinants of resectability. Dis Colon Rectum. 2004;47(10):1599–606.

    Article  PubMed  Google Scholar 

  16. Suzuki K, Dozois RR, Devine RM, Nelson H, Weaver AL, Gunderson LL, et al. Curative reoperations for locally recurrent rectal cancer. Dis Colon Rectum. 1996;39(7):730–6.

    Article  CAS  PubMed  Google Scholar 

  17. Brown WE, Koh CE, Badgery-Parker T, Solomon MJ. Validation of MRI and surgical decision making to predict a complete resection in pelvic exenteration for recurrent rectal cancer. Dis Colon Rectum. 2017;60(2):144–51.

    Article  PubMed  Google Scholar 

  18. Heriot AG, Byrne CM, Lee P, Dobbs B, Tilney H, Solomon MJ, et al. Extended radical resection: the choice for locally recurrent rectal cancer. Dis Colon Rectum. 2008;51(3):284–91.

    Article  PubMed  Google Scholar 

  19. Solomon MJ, Brown KGM, Koh CE, Lee P, Austin KKS, Masya L. Lateral pelvic compartment excision during pelvic exenteration. Br J Surg. 2015;102(13):1710–7.

    Article  CAS  PubMed  Google Scholar 

  20. Mirnezami AH, Sagar PM, Kavanagh D, Witherspoon P, Lee P, Winter D. Clinical algorithms for the surgical management of locally recurrent rectal cancer. Dis Colon Rectum. 2010;53(9):1248–57.

    Article  PubMed  Google Scholar 

  21. Solomon MJ, Tan K-K, Bromilow RG, Al-mozany N, Lee PJ. Sacrectomy via the abdominal approach during pelvic exenteration. Dis Colon Rectum. 2014;57(2):272–7.

    Article  PubMed  Google Scholar 

  22. Austin KKS, Herd AJ, Solomon MJ, Ly K, Lee PJ. Outcomes of pelvic exenteration with en bloc partial or complete pubic bone excision for locally advanced primary or recurrent pelvic cancer. Dis Colon Rectum. 2016;59(9):831–5.

    Article  PubMed  Google Scholar 

  23. Solomon MJ, Austin KKS, Masya L, Lee P. Pubic bone excision and perineal urethrectomy for radical anterior compartment excision during pelvic exenteration. Dis Colon Rectum. 2015;58(11):1114–9.

    Article  PubMed  Google Scholar 

  24. The Beyond TME Collaborative. Consensus statement on the multidisciplinary management of patients with recurrent and primary rectal cancer beyond total mesorectal excision planes. Br J Surg. 2013;100(8):1009–14.

    Article  Google Scholar 

  25. Shaikh I, Aston W, Hellawell G, Ross D, Littler S, Burling D, et al. Extended lateral pelvic sidewall excision (ELSiE): an approach to optimize complete resection rates in locally advanced or recurrent anorectal cancer involving the pelvic sidewall. Tech Coloproctol. 2014;18(12):1161–8.

    Article  CAS  PubMed  Google Scholar 

  26. Ali RS, Bluebond-Langner R, Rodriguez ED, Cheng M-H. The versatility of the anterolateral thigh flap. Plast Reconstr Surg. 2009;124(6S):e395.

    Article  CAS  PubMed  Google Scholar 

  27. Musters GD, Klaver CEL, Bosker RJI, Burger JWA, van Duijvendijk P, van Etten B, et al. Biological mesh closure of the pelvic floor after extralevator abdominoperineal resection for rectal cancer: a multicenter randomized controlled trial (the BIOPEX-study). Ann Surg. 2016;265(6):1074–81.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Colorectal Surgery, Department of Surgery, Queen Mary Hospital, University of Hong Kong, Hong Kong, China

    Jeremy Yip

Authors
  1. Jeremy Yip
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jeremy Yip .

Editor information

Editors and Affiliations

  1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea (Republic of)

    Nam Kyu Kim

  2. Department of Surgery, Tokyo Medical and Dental University, Tokyo, Japan

    Kenichi Sugihara

  3. Department of Surgery, National Taiwan University Hospital and College of Medicine, Taipei City, Taiwan

    Jin-Tung Liang

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Yip, J. (2018). Salvage Surgery. In: Kim, N., Sugihara, K., Liang, JT. (eds) Surgical Treatment of Colorectal Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-10-5143-2_36

Download citation

  • DOI: https://doi.org/10.1007/978-981-10-5143-2_36

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-5142-5

  • Online ISBN: 978-981-10-5143-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation