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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2025, Vol. 19 ›› Issue (02): 119-122. doi: 10.3877/cma.j.issn.1674-3946.2025.02.001.

• Editorial •     Next Articles

Current Status and Prospects of Neoadjuvant Chemoradiotherapy Combined with Immunotherapy for Locally Advanced Rectal Cancer

Zhongtao Zhang1,(), Jiale Gao1, Hongwei Yao1   

  1. 1.Department of General Surgery, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; National Key Laboratory of Digestive Health; Clinical Practice and Research Center for Colorectal Neoplasm, Capital Medical University, Beijing 100032, China
  • Received:2024-08-22 Online:2025-04-26 Published:2025-02-25
  • Contact: Zhongtao Zhang

Abstract:

For locally advanced rectal cancer, the standard treatment regimen is neoadjuvant chemoradiotherapy followed by total mesorectal excision.With the advent of the immunotherapy era, the synergistic anti-tumor effects of chemoradiotherapy and immunotherapy have been validated in multiple clinical studies.For pMMR/MSS locally advanced rectal cancer, neoadjuvant chemoradiotherapy combined with immunotherapy has further improved the rates of clinical complete response and pathological complete response, and it holds promise for showing advantages in organ preservation and long-term survival.However,the safety concerns associated with the new treatment modality need close attention.Additionally, the evaluation of treatment efficacy, the screening of beneficiary populations, and the combination with other medications warrant further exploration.

Key words: Rectal Cancer, Neoadjuvant Chemoradiotherapy, Immunotherapy

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