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14 Results Found

  • Article
  • Open Access
7 Citations
2,548 Views
10 Pages

Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy with Intra-Operative Radiotherapy for Patients with Locally Advanced or Locally Recurrent Rectal Cancer and Peritoneal Metastases

  • Vincent C. J. van de Vlasakker,
  • Teun B. M. van den Heuvel,
  • Anouk Rijken,
  • Simon W. Nienhuijs,
  • Stijn H. J. Ketelaers,
  • An-Sofie E. Verrijssen,
  • Harm J. Rutten,
  • Grard A. P. Nieuwenhuijzen,
  • Jacobus W. A. Burger and
  • Ignace H. J. T. de Hingh

30 January 2023

Purpose: To assess the safety and long-term outcome of a multimodality treatment consisting of radical surgery, intra-operative radiotherapy (IORT), and cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) for patients wit...

  • Systematic Review
  • Open Access
12 Citations
8,054 Views
16 Pages

Locally Recurrent Rectal Cancer According to a Standardized MRI Classification System: A Systematic Review of the Literature

  • Zena Rokan,
  • Constantinos Simillis,
  • Christos Kontovounisios,
  • Brendan Moran,
  • Paris Tekkis and
  • Gina Brown

18 June 2022

(1) Background: The classification of locally recurrent rectal cancer (LRRC) is not currently standardized. The aim of this review was to evaluate pelvic LRRC according to the Beyond TME (BTME) classification system and to consider commonly associate...

  • Article
  • Open Access
7 Citations
2,606 Views
14 Pages

Beyond Total Mesorectal Excision (TME)—Results of MRI-Guided Multivisceral Resections in T4 Rectal Carcinoma and Local Recurrence

  • Sigmar Stelzner,
  • Thomas Kittner,
  • Michael Schneider,
  • Fred Schuster,
  • Markus Grebe,
  • Erik Puffer,
  • Anja Sims and
  • Soeren Torge Mees

8 November 2023

Rectal cancer invading adjacent organs (T4) and locally recurrent rectal cancer (LRRC) pose a special challenge for surgical resection. We investigate the diagnostic performance of MRI and the results that can be achieved with MRI-guided surgery. All...

  • Feature Paper
  • Article
  • Open Access
26 Citations
4,053 Views
13 Pages

Neoadjuvant Chemoradiation Combined with Regional Hyperthermia in Locally Advanced or Recurrent Rectal Cancer

  • Oliver J. Ott,
  • Cihan Gani,
  • Lars H. Lindner,
  • Manfred Schmidt,
  • Ulf Lamprecht,
  • Sultan Abdel-Rahman,
  • Axel Hinke,
  • Thomas Weissmann,
  • Arndt Hartmann and
  • Rainer Fietkau
  • + 4 authors

13 March 2021

Background: To prospectively analyze feasibility and pathological complete response (pCR) rates of neoadjuvant chemoradiotherapy combined with regional hyperthermia (RHT) in patients with locally advanced (LARC) or recurrent (LRRC) rectal cancer. Met...

  • Review
  • Open Access
5 Citations
4,634 Views
24 Pages

Current Management of Locally Recurrent Rectal Cancer

  • Claudio Coco,
  • Gianluca Rizzo,
  • Luca Emanuele Amodio,
  • Donato Paolo Pafundi,
  • Federica Marzi and
  • Vincenzo Tondolo

21 November 2024

Locally recurrent rectal cancer (LRRC), which occurs in 6–12% of patients previously treated with surgery, with or without pre-operative chemoradiation therapy, represents a complex and heterogeneous disease profoundly affecting the patient&rsq...

  • Article
  • Open Access
3 Citations
2,940 Views
12 Pages

Radiomic Features from Post-Operative 18F-FDG PET/CT and CT Imaging Associated with Locally Recurrent Rectal Cancer: Preliminary Findings

  • Dajana Cuicchi,
  • Margherita Mottola,
  • Paolo Castellucci,
  • Alessandro Bevilacqua,
  • Arrigo Cattabriga,
  • Maria Adriana Cocozza,
  • Stefano Cardelli,
  • Gerti Dajti,
  • Susanna Mattoni and
  • Gilberto Poggioli
  • + 4 authors

6 March 2023

Locally Recurrent Rectal Cancer (LRRC) remains a major clinical concern; it rapidly invades pelvic organs and nerve roots, causing severe symptoms. Curative-intent salvage therapy offers the only potential for cure but it has a higher chance of succe...

  • Article
  • Open Access
9 Citations
2,513 Views
12 Pages

Implementation of an Enhanced Recovery after Surgery Protocol in Advanced and Recurrent Rectal Cancer Patients after beyond Total Mesorectal Excision Surgery: A Feasibility Study

  • Stefi Nordkamp,
  • Davy M. J. Creemers,
  • Sofie Glazemakers,
  • Stijn H. J. Ketelaers,
  • Harm J. Scholten,
  • Silvie van de Calseijde,
  • Grard A. P. Nieuwenhuijzen,
  • Jip L. Tolenaar,
  • Hendi W. Crezee and
  • Johanne G. Bloemen
  • + 2 authors

12 September 2023

Introduction: The implementation of an Enhanced Recovery After Surgery (ERAS) protocol in patients with locally advanced rectal cancer (LARC) and locally recurrent rectal cancer (LRRC) has been deemed unfeasible until now because of the heterogeneity...

  • Article
  • Open Access
15 Citations
3,372 Views
13 Pages

Use of Image-Guided Surgical Navigation during Resection of Locally Recurrent Rectal Cancer

  • Harald C. Groen,
  • Anne G. den Hartog,
  • Wouter J. Heerink,
  • Koert F. D. Kuhlmann,
  • Niels F. M. Kok,
  • Ruben van Veen,
  • Marijn A. J. Hiep,
  • Petur Snaebjornsson,
  • Brechtje A. Grotenhuis and
  • Theo J. M. Ruers
  • + 2 authors

27 April 2022

Surgery for locally recurrent rectal cancer (LRRC) presents several challenges, which is why the percentage of inadequate resections of these tumors is high. In this exploratory study, we evaluate the use of image-guided surgical navigation during re...

  • Systematic Review
  • Open Access
1 Citations
1,485 Views
20 Pages

25 August 2025

Introduction: Pelvic exenteration (PEx) is a radical procedure used in the treatment of locally advanced (LARC) and locally recurrent rectal cancer (LRRC). With recent advancements in perioperative treatment regimens, there has been renewed interest...

  • Article
  • Open Access
1,490 Views
12 Pages

A Novel Treatment Strategy for Unresectable Locally Recurrent Rectal Cancer—Upfront Carbon-Ion Radiotherapy Followed by Surgical Resection of the Irradiated Intestines

  • Kei Kimura,
  • Hirotoshi Takiyama,
  • Shigeru Yamada,
  • Kazuma Ito,
  • Mizuki Koba,
  • Ayako Imada,
  • Jihyung Song,
  • Kozo Kataoka,
  • Takako Kihara and
  • Masataka Ikeda
  • + 6 authors

3 July 2025

Background/Objectives: Carbon-ion radiotherapy (CIRT) is a promising treatment option for unresectable locally recurrent rectal cancer (LRRC). However, CIRT is contraindicated in cases where recurrent tumors are attached to the intestine. To address...

  • Systematic Review
  • Open Access
7 Citations
3,274 Views
12 Pages

Modern Techniques in Re-Irradiation for Locally Recurrent Rectal Cancer: A Systematic Review

  • Giovanna Mantello,
  • Elena Galofaro,
  • Silvia Bisello,
  • Giuditta Chiloiro,
  • Angela Romano,
  • Luciana Caravatta and
  • Maria Antonietta Gambacorta

3 October 2023

Background: Radiotherapy (RT) plays an important role in the treatment of patients with previously irradiated locally recurrent rectal cancer (LRRC). Over the years, numerous technologies and different types of RT have emerged. The aim of our systema...

  • Article
  • Open Access
9 Citations
3,686 Views
24 Pages

Surgical and Oncologic Outcome following Sacrectomy for Primary Malignant Bone Tumors and Locally Recurrent Rectal Cancer

  • Anne Weidlich,
  • Klaus-Dieter Schaser,
  • Jürgen Weitz,
  • Johanna Kirchberg,
  • Johannes Fritzmann,
  • Christian Reeps,
  • Philipp Schwabe,
  • Ingo Melcher,
  • Alexander Disch and
  • Hagen Fritzsche
  • + 3 authors

26 June 2024

Introduction: Bone sarcoma or direct pelvic carcinoma invasion of the sacrum represent indications for partial or total sacrectomy. The aim was to describe the oncosurgical management and complication profile and to analyze our own outcome results fo...

  • Article
  • Open Access
5 Citations
1,974 Views
10 Pages

Redo Pelvic Surgery and Combined Metastectomy for Locally Recurrent Rectal Cancer with Known Oligometastatic Disease: A Multicentre Review

  • Cian Keogh,
  • Niall J. O’Sullivan,
  • Hugo C. Temperley,
  • Michael P. Flood,
  • Pascallina Ting,
  • Camille Walsh,
  • Peadar Waters,
  • Éanna J. Ryan,
  • John B. Conneely and
  • Michael E. Kelly
  • + 10 authors

8 September 2023

Introduction: Historically, surgical resection for patients with locally recurrent rectal cancer (LRRC) had been reserved for those without metastatic disease. ‘Selective’ patients with limited oligometastatic disease (OMD) (involving the...

  • Review
  • Open Access
24 Citations
3,508 Views
15 Pages

15 October 2022

Pelvic exenteration surgery has become a widely accepted procedure for treatment of locally advanced (LARC) and locally recurrent rectal cancer (LRRC). However, there is still unwarranted variation in peri-operative management and subsequently oncolo...