What do systematic reviews say?

Local excision vs radical resection

Local excision showed no clear difference in disease‐free survival (D‐FS)Â 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
  HR 1.96 [0.91, 4.24]
  3 studies · 212 participants
  Low