Abstract:Objective:To discuss the causes, the methods of intraoperative prevention and treatment of local recurrence in patients after operation for rectal carcinoma. Methods:Fifty-two re-operated patients with local recurrence of rectal carcinoma were analyzed retrospectively. Results:In these 52 patients , there were 14 patients with perianus and pelvic cavity recurrence, 31 patients with stoma recurrence, 4patients with vaginal wall recurrence , 2 patients with prostate gland recurrence and 1 patient with implantation in the incision of abdominal wall . Among them, 36 patients underwent radical operation, 13 patients had palliative resection and 3 patients were treated by enterostomy. The median survival time for the groups who underwent radical operation and palliative resection was 33.5(12~80) months and 12(3~23) months respectively. Conclusions:Patients with local recurrence of rectal cancer should still be given aggressive operative treatment. Radical resection of the lesions and formal radical lymphadenectomy can prolong patient survival time and improve quality of life.