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Tumefaction recurrence took place 14 clients in the liver(3 instances), the lung(7 situations)and your local sites(4 cases). For the 4 cases with pelvic recurrence, no recurrence was based in the horizontal lymph node area. Under the condition that pre-operative chemoradiotherapy is to be performed for advanced lower rectal disease with unfavorable horizontal lymph node metastasis, a lateral dissection could possibly be omitted.Laparoscopy and endoscopy cooperative surgery(LECS)is the surg