Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press19010.17650/2220-3478-2016-6-4-38-44CASE REPORTКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯTACTICS SPHINCTER SPARING SURGERY IN LOCALLY-ADVANCED RECTAL ULTRA-LOW LOCALISATION WITH A LESION OF THE LATERAL GROUP LYMPH NODES: CLINICAL CASESТАКТИКА СФИНКТЕРОСОХРАНЯЮЩЕЙ ХИРУРГИИ ПРИ МЕСТНО-РАСПРОСТРАНЕННОМ РАКЕ ПРЯМОЙ КИШКИ УЛЬТРАНИЗКОЙ ЛОКАЛИЗАЦИИ С ПОРАЖЕНИЕМ ЛАТЕРАЛЬНОЙ ГРУППЫ ЛИМФАТИЧЕСКИХ УЗЛОВ: КЛИНИЧЕСКОЕ НАБЛЮДЕНИЕTamrazovR. I.ТамразовР. И.
Russian Federation

23 Kashirskoe Shosse, Moscow 115478

Контакты: Расим Ильхамович Тамразов - ФГБУ РОНЦ им. Н.Н. Блохина Минздрава России, 115478 Москва, Каширское шоссе, 23 

rasim-t@mail.ruBarsukovYu. A.БарсуковЮ. А.
Russian Federation
NikolaevA. V.НиколаевВ. В.
Russian Federation
GordeevS. S.ГордеевС. С.
Russian Federation
ss.netoncology@gmail.comN.N. Blokhin Russian Cancer Research CenterРоссийский онкологический научный центр им. Н.Н. Блохина Минздрава России0401201764384404012017Copyright ©; 2017, ABV-pressCopyright ©; 2017, АБВ-пресс2017ABV-pressАБВ-прессhttps://onco-surgery.info/jour/about/editorialPolicieshttps://onco-surgery.info/jour/article/view/190

The article considers the possibility of sphincter sparing surgery in patients with negative risk factors, such as localization in low third and lesion of lateral lymph nodes. Combined treatment and improved surgical approach allowed to achieve positive oncological and functional results. The discussion provides an analysis of the publications devoted to various approaches to the treatment of low rectal cancer with extended pelvic lymph node dissection and neoadjuvant chemoradiotherapy. 

В статье рассматривается возможность выполнения сфинктеросохраняющей операции у пациентки с наиболее неблагоприятными прогностическими факторами, такими как низкая локализация опухоли и поражение латеральной группы лимфатических узлов. Комплексный подход и усовершенствованная хирургическая тактика позволили достигнуть положительных онкологических и функциональных результатов. В обсуждении приводится анализ публикаций, посвященных различным подходам к лечению нижнеампулярного рака с расширенными тазовыми лимфодиссекциями и неоадъювантной химиолучевой терапией. 

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