Elective Resection of Rectal Cancer Primary Tumor in Patients with Stage IV Disease - Own Experiences

Abstract

In properly selected group of patients elective resection of primary tumor may cause low mortality rate and acceptable morbidity rate. This surgical modality allows to avoid potential complications of tumor local growth.

Resection of the Rectal Primary Tumor in the Setting of Metastatic Disease

“…Unless there are specific indications for acute management of the primary in this setting, provided that patients are under surveillance the majority will not require emergent surgery for intestinal obstruction and/or perforation [32]. Although some studies have demonstrated a survival benefit for primary resection [33], the data are biased towards patients with a better performance status and better prognosis (less metastatic sites involved).…”