Multidisciplinary management of early rectal cancer – The role of surgical local excision in current and future clinical practice

Lisanne J. H. Smits, Annabel S. van Lieshout, Alexander A. J. Grüter, Karin Horsthuis, Jurriaan B. Tuynman

Research output: Contribution to journalReview articleAcademicpeer-review

6 Citations (Scopus)


The implementation of bowel cancer screening programs has led to a rise in the incidence of early rectal cancer. The combination of increased incidence and the growing interest in organ-sparing treatment options has led to an amplified importance of local excision techniques in treatment strategies for early rectal cancer. In addition, developments in new technologies of single-port surgery have popularized surgical techniques. Although local treatment of early rectal cancer seems promising, a multidisciplinary approach is necessary and awareness of the oncological robustness is warranted to enable shared decision-making. This review illustrates the position of surgical local excision in the treatment of early rectal cancer and reflects on its role in current and future clinical practice.
Original languageEnglish
Article number101687
JournalSurgical Oncology
Publication statusPublished - 1 Mar 2022


  • Local excision
  • Organ preservation
  • Rectal cancer
  • Transanal minimally invasive surgery

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