Abstract
Lack of public awareness, lack of eff ective screening programs in oncoproctology are the main reasons for late detection and late referral of patients with rectal cancer for help. The question of the approach to the complex treatment of rectal cancer is very relevant because the choice of the right direction signifi cantly aff ects the long-term results of treatment and the quality of life of patients. Conclusions. Preoperative radiation therapy is eff ective in downstaging, increasing resection rates and local control rates, especially for patients with inferior ampullary rectal cancer. Postoperative radiation therapy helps improve local control. Infi ltration beyond the serosal membrane, lymph node metastases, and a positive circular margin are important predictors of local recurrence, distant metastases, and overall survival.
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