Surgery is the most important aspect in treating rectal cancer. In fact , it forms the cornerstone of curative therapy for rectal carcinoma. Rectal cancer can be treated with either local or radical excision depending upon the clinical stage, size, and location of the primary tumor. This article describes some of the surgical approaches that are used treat rectal cancer.

The development of surgical technique in the management of rectal cancer has been derived from single centers evaluation of new steps against historical controls based on high quality controlled trials. In a surgical era, a major breakthrough was the introduction of Miles' procedure which was the first time a curative procedure was possible and since then the development has increased enormously. Rectal cancer surgery is an interesting part since as there are various important endpoints to measure quality. Approaches…