[Surgical and multimodal therapy of recurrent rectum carcinoma].

The following guidelines can be recommended for the treatment of recurrent rectal cancer: The therapeutical procedure depends on aetiology and shape of the recurrence. A surgical approach is worth striving for, if a R0-resection can be achieved. Multimodality therapy improves resectability and especially also the local recurrence free and overall survival time. Radiochemotherapy, possibly combined with hyperthermia or IORT are the most effective treatment strategies in combination with surgery.