Mid-term results of combined endovascular and surgical treatment of cancer of the rectum

In this article new interventional method of preoperative simultaneous one stage selective lipiodol oil chemoembolization of the main rectal arteries is described. Essentionaly authors attempted transcatheter selective chemoembolization of different rectal arteries originated from different vascular system to improve clinical result of intra-arterial chemotherapy of rectal cancer. This method can be successfully used in complex treatment of locoregional rectal cancer. By objective methods such as MRI and ultrasound study positive influence of selective transcatheter chemoembolization of upper, middle and inferior rectal arteries on clinical condition of patients, resolving of partial colonic obstruction, significant decrease of the tumor size and reduction of number of lymphatic nodes were confirmed.