What do systematic reviews say?

Local excision vs radical resection

Local excision showed no clear difference in major postoperative complications compared with radical resection (low certainty).

• Local versus radical surgery for early rectal cancer with or without neoadjuvant or adjuvant therapy 2023 · Cochrane Headline outcomes only
  RR 0.53 [0.22, 1.28]
  4 studies · 266 participants
  Low