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Онкологическая колопроктология

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Определение показаний и объема хирургического лечения больных с метастазами колоректального рака в легкие

https://doi.org/10.17650/2220-3478-2016-6-3-34-42

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Аннотация

Хирургическое лечение метастазов колоректального рака в легкие – сравнительно новое направление современной онкологии. В связи с этим до сих пор четко не сформулированы критерии отбора пациентов для подобных вмешательств, подходы к повторным резекциям и выбор объема операции при множественном поражении. Установленными ключевыми прогностическими факторами являются поражение внутригрудных лимфатических узлов, сроки развития метастатического заболевания, исходный уровень раково-эмбрионального антигена, число очагов и объем  метастатического поражения, стадия заболевания. Варианты хирургического доступа включают боковую торакотомию, стернотомию, торакоскопию и торакоскопию с дополнительной мини-торакотомией. При наличии единичных периферических метастатических очагов предпочтение следует отдавать торакоскопическим операциям, одним из преимуществ которых является минимальное развитие спаечного процесса и возможность последующей реторакоскопии. Выполнение резекций метастазов колоректального рака в легкие в объеме R0 позволяет достичь стойкого излечения опухолевого процесса у значительного числа больных.

Об авторах

Б. Б. Ахмедов
ФГБУ «РОНЦ им. Н.Н. Блохина» Минздрава России
Россия


М. М. Давыдов
ФГБУ «РОНЦ им. Н.Н. Блохина» Минздрава России
Россия


А. К. Аллахвердиев
ФГБУ «РОНЦ им. Н.Н. Блохина» Минздрава России
Россия


Б. Е. Полоцкий
ФГБУ «РОНЦ им. Н.Н. Блохина» Минздрава России
Россия


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Для цитирования:


Ахмедов Б.Б., Давыдов М.М., Аллахвердиев А.К., Полоцкий Б.Е. Определение показаний и объема хирургического лечения больных с метастазами колоректального рака в легкие. Онкологическая колопроктология. 2016;6(3):34-42. https://doi.org/10.17650/2220-3478-2016-6-3-34-42

For citation:


Ahmedov B.B., Davydov M.M., Allakhverdiev A.K., Polotskiy B.E. Definition and scope of the surgical treatment in patients with pulmonary metastases from colorectal cancer. Colorectal Oncology. 2016;6(3):34-42. (In Russ.) https://doi.org/10.17650/2220-3478-2016-6-3-34-42

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