Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press12110.17650/2220-3478-2015-1-20-25REVIEWОБЗОРЫ ЛИТЕРАТУРЫENDOSCOPIC TECHNOLOGIES IN EARLY RECTAL CANCER TREATMENTЭНДОСКОПИЧЕСКИЕ ТЕХНОЛОГИИ В ЛЕЧЕНИИ РАННЕГО РАКА ПРЯМОЙ КИШКИSamsonovD. V.СамсоновД. В.Russian Federation
N.N. Petrov Research Institute of Oncology, Ministry of Health of Russia; 68, Leningradskaya St., Pesochnyi Settlement, Saint-Petersburg, 197758, Russia
ФГБУ «НИИ онкологии им. Н.Н. Петрова» Минздрава России; 197758, Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68
KarachunA. M.КарачунА. М.Russian Federation
N.N. Petrov Research Institute of Oncology, Ministry of Health of Russia; 68, Leningradskaya St., Pesochnyi Settlement, Saint-Petersburg, 197758, Russia
ФГБУ «НИИ онкологии им. Н.Н. Петрова» Минздрава России; 197758, Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68
N.N. Petrov Research Institute of Oncology, Ministry of Health of Russia; 68, Leningradskaya St., Pesochnyi Settlement, Saint-Petersburg, 197758, Russia
ФГБУ «НИИ онкологии им. Н.Н. Петрова» Минздрава России; 197758, Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68
Total mesorectal excision is the “golden standard” of surgical treatment for rectal cancer. Development of endoscopic technologies allowed to implement the benefits of minimally invasive surgery in early rectal cancer treatment, decrease morbidity and mortality, improve functional outcome and quality of life. Oncological safety of this method is still a subject for discussion due to lack of lymph node harvest. Endoscopic operations for early rectal cancer are being actively implemented in daily practice, but lack of experience does not allow to include this method in national clinical prac-tice guidelines.
Резекционное вмешательство с выполнением тотальной мезоректумэктомии в настоящее время является «золотым стандартом» хирургического лечения рака прямой кишки. Однако современное развитие эндоскопических технологий позволило реализовать преимущества малоинвазивной хирургии в лечении раннего рака: уменьшить частоту послеоперационных осложнений и ле- тальности, улучшить функциональные результаты и качество жизни пациентов. Онкологическая безопасность такого подхода все еще вызывает серьезные сомнения, обусловленные отсутствием лимфодиссекции. Эндоскопические операции при раке прямой кишки активно и широко внедряются в повседневную практику, но относительно небольшой опыт их выполнения пока не позволил включить данную программу в национальные стандарты оказания медицинской помощи онкологическим больным.
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