关键词: 直肠肿瘤, 局部复发, 吻合口复发, 多学科综合治疗协作组, 再次手术

Abstract: Treatment strategy and controversy of anastomotic recurrence after anterior resection for rectal cancer                   YAO Hong-wei,AN Yong-bo,ZHANG Zhong-tao. Department of General Surgery, Beijing Friendship Hospital, Capital Medical University；National Clinical Research Center for Digestive Diseases, ＆ Clinical Center for Colorectal Neoplasm, Capital Medical University, Beijing 100050, China
Corresponding author: ZHANG Zhong-tao,E-mail：zhangzht@ccmu.edu.cn
Abstract    One of the most important survival risks for patients with rectal cancer is local recurrence.Therefore，reducing the local recurrence rate after radical resection of rectal cancer has always been the main challenge for colorectal surgery.To reduce the recurrence of anastomosis and local recurrence，the key lies in the prevention，in the safe resection margin of primary tumor operation and the integrity of total mesorectal resection specimen，in the implementation of perioperative comprehensive treatment strategy.The treatment of anastomotic recurrence and local recurrence requires surgery combined with multidisciplinary team mode.From LAR to APE surgery，even posterior pelvic resection and total pelvic resection，if R0 resection can be achieved，all of the procedures are the alternatives of reoperation. How to improve the postoperative quality of life of patients remains controversial.

Key words: rectal neoplasm, local recurrence, anastomotic recurrence, multidisciplinary team, reoperation