Isolated manifestation of recurrent rectal cancer in the pelvis after primary radical resection occurs in 7 to 33% and frequently causes severe sacral pain. Sacral recurrence gravely impairs the quality of life as well as life expectancy. Irradiation offers a means of palliation. However, even if radiation is effectful it only provides symptomatic recurrent tumors frequently remain radioresistant 1.4. Only portal sacral resection potentially provides curative treatment if the Recurrent tumor is limited to the sacrum. Without surgical therapy the life expectancy of patients with local recurrence of rectal cancer is about 7 months.