Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press22610.17650/2220-3478-2017-7-3-49-55REVIEWОБЗОРЫ ЛИТЕРАТУРЫTopographical anatomy and oncologic colon surgery: new or well forgotten old?Топографическая анатомия и онкологическая хирургия ободочной кишки: новое или хорошо забытое старое?ChernikovskiyI. L.ЧерниковскийИ. Л.
Russian Federation

68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia

Россия, 197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68а

odindra@mail.ruSavanovichN. V.СавановичН. В.
Russian Federation

68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia

Россия, 197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68а

SmirnovA. A.СмирновА. А.
Russian Federation

68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia

Россия, 197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68а

GavrilyukovA. V.ГаврилюковА. В.
Russian Federation

68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia

Россия, 197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68а

OganesyanO. V.ОганесянО. В.
Russian Federation

68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia

Россия, 197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68а

Saint Petersburg Clinical Research Center for Specialized Medical Care (Oncology), Ministry of Health of RussiaГБУЗ «Санкт-Петербургский клинический научно-практический центр специализированных видов медицинской помощи (онкологический)» Минздрава России071220177349550712201707122017Copyright ©; 2017, Chernikovskiy I.L., Savanovich N.V., Smirnov A.A., Gavrilyukov A.V., Oganesyan O.V.Copyright ©; 2017, Черниковский И.Л., Саванович Н.В., Смирнов А.А., Гаврилюков А.В., Оганесян О.В.2017Chernikovskiy I.L., Savanovich N.V., Smirnov A.A., Gavrilyukov A.V., Oganesyan O.V.Черниковский И.Л., Саванович Н.В., Смирнов А.А., Гаврилюков А.В., Оганесян О.В.https://creativecommons.org/licenses/by/4.0https://onco-surgery.info/jour/article/view/226

The article is devoted to the surgery standards for colorectal cancer, specific features of colon mobilization in patients with locally advanced colon cancer and the use of germ cell layers as anatomical landmarks. We describe the features and the volume of lymph node dissection during surgeries for left and right colon, the level of central vessels ligation during intervention and the criteria for assessing the quality of mesocolic excision. We studied the impact of these factors on overall and relapse-free survival, highlighted some aspects of mobilization of the right and left colon. The objective of this article was to contribute to the development of methodological guidelines for colon cancer surgery in compliance with the principles of complete mesocolic excision with central vessels ligation.

Статья посвящена принципам соблюдения стандартов в хирургии колоректального рака, особенностям мобилизации при местнораспространенном раке ободочной кишки и использования эмбриональных слоев в качестве анатомических ориентиров.Указываются особенности и объем лимфодиссекции при операциях на правой и левой половинах ободочной кишки, уровень пересечения основных сосудов в ходе хирургических вмешательств, критерии оценки качества выполнения мезоколонэктомии.Изучено влияние вышеуказанных факторов на общую и безрецидивную выживаемость пациентов, освещены некоторые аспекты техники выполнения мобилизации правой и левой половин ободочной кишки. Цель статьи – внести вклад в разработку методологии обучения хирургов стандартному выполнению основных этапов хирургии рака ободочной кишки с соблюдением принципов полной мезоколонэктомии с центральной перевязкой сосудов.

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