Is local excision due to rectal carcinoma a safe operation?

Though the treatment of patients with polypoid lesions of rectum is most frequently based on endoscopic approach, there are many cases that cannot be solved endoscopically and therefore must be treated by surgeons. In the past there were several possibilities of how to operate. In reachable localisations even local operation could be performed, however with varying measures of local recurrences and survival. The aim of this article is to draw attention to the complex topic of local excisions for rectal neoplasms and at the same time to analyse the review of indication criteria and evaluate the drawbacks of this operative method in our conditions (Tab. 3, Fig. 1, Ref 14).