Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press75510.17650/2949-5857-2024-14-4-43-54LITERATURE REVIEWОБЗОР ЛИТЕРАТУРЫExtended pelvic evisceration with lateral wall resection in malignant tumorsРасширенная эвисцерация малого таза с резекцией боковой стенки при злокачественных опухоляхhttps://orcid.org/0009-0005-8113-6114CheglakovA. N.ЧеглаковА. Н.
Russian Federation

Andrey N. Cheglakov 

154 Fontanka River embankment, Saint Petersburg 190020

Андрей Николаевич Чеглаков 

190020 Санкт-Петербург, набережная реки Фонтанки, 154

andrey-che@mail.ruhttps://orcid.org/0000-0003-2654-1190ShostkaK. G.ШосткаК. Г.
Russian Federation

154 Fontanka River embankment, Saint Petersburg 190020

190020 Санкт-Петербург, набережная реки Фонтанки, 154

https://orcid.org/0000-0003-2586-6313MankevichN. V.МанкевичН. В.
Russian Federation

154 Fontanka River embankment, Saint Petersburg 190020

190020 Санкт-Петербург, набережная реки Фонтанки, 154

https://orcid.org/0000-0002-2274-8170BelousovA. M.БелоусовА. М.
Russian Federation

154 Fontanka River embankment, Saint Petersburg 190020

190020 Санкт-Петербург, набережная реки Фонтанки, 154

Pirogov Clinic of High Medical Technologies of St. Petersburg State UniversityКлиника высоких медицинских технологий им. Н.И. Пирогова ФГБОУ ВО «Санкт-Петербургский государственный университет»3011202414443543011202430112024Copyright ©; 2024, Cheglakov A.N., Shostka K.G., Mankevich N.V., Belousov A.M.Copyright ©; 2024, Чеглаков А.Н., Шостка К.Г., Манкевич Н.В., Белоусов А.М.2024Cheglakov A.N., Shostka K.G., Mankevich N.V., Belousov A.M.Чеглаков А.Н., Шостка К.Г., Манкевич Н.В., Белоусов А.М.https://creativecommons.org/licenses/by/4.0https://onco-surgery.info/jour/article/view/755

Patients with tumor involvement of lateral pelvic sidewall represent a peculiar category and were not assessed as the candidates for curative surgery up until recent years. The aim of the current review of literature is to display the working results of the most experienced surgical oncologists in pelvic surgery. We have analyzed issue-related articles, which were published from 1967 till 2023, considering the free margin status as a key prognostic factor. It is elucidated that R0 resection could be achieved in more than a half cases, 5 year overall survival ran up to 50 %, and postoperative mortality was less than 7 %. The majority of authors described high morbidity though (up to 82 %). Exenteration with laterally extended endopelvic resection could improve overall survival rate in patients with locally advanced pelvic malignancies granting sensible patient selection in expert medical care unit.

Пациенты с опухолевым поражением боковой стенки таза – особая категория больных, которые до недавнего времени не рассматривались в качестве кандидатов для хирургического лечения.

Цель обзора литературы – проанализировать мировой опыт и представить актуальное состояние проблемы. мы проанализировали тематические статьи, опубликованные за период с 1967 по 2023 г., в которых рассматривалась радикальность резекции как ключевой фактор прогноза. В ходе ознакомления с результатами исследований установлено, что достижение резекций R0 возможно более чем в половине случаев. при этом 5-летняя выживаемость в некоторых исследованиях достигала 50 %, а послеоперационная летальность не превышала 7 %. авторы большинства исследований сообщают о высокой частоте развития послеоперационных осложнений, достигающей 82 %. Эвисцерация с расширенной латеральной диссекцией стенки таза может улучшить показатели выживаемости пациентов с местно-распространенными опухолями таза при условии правильного отбора пациентов и проведения таких операций в высокопотоковых специализированных центрах тазовой онкохирургии экспертного уровня.

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