Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press85010.17650/2949-5857-2026-16-1-11-20LITERATURE REVIEWОБЗОР ЛИТЕРАТУРЫReview ArticleSurgical tactics in cancer of the splenic flexure complicated by acute intestinal obstruction: literature reviewХирургическая тактика при раке селезеночного изгиба, осложненном острой обтурационной непроходимостью: обзор литературыhttps://orcid.org/0000-0002-1832-5255ShchaevaSvetlana N.ЩаеваСветлана Николаевна
Russian Federation
shaeva30@mail.ruSmolensk State Medical University, Ministry of Health of RussiaФГБОУ ВО «Смоленский государственный медицинский университет» Минздрава России15032026161112005102025Copyright ©; 2026, ABV-pressCopyright ©; 2026, АБВ-пресс2026ABV-pressАБВ-прессhttps://onco-surgery.info/jour/about/editorialPolicieshttps://onco-surgery.info/jour/article/view/850

Selection of surgical tactics in cancer of the splenic fixture is associated with certain difficulties due to tumor location and characteristic lymphatic outflow. In case of the presence of such complication as intestinal obstruction, determination of the most effective surgical strategy remains debatable.

Aim of the review is to study the optimal volume of emergency surgical intervention based on the analysis of immediate and long-term results of treatment of spleniс fixture cancer complicated by acute intestinal obstruction. Due to low frequency of this pathology in scientific literature, there is insufficient information on its surgical treatment. However, in recent years some studies have considered which type of surgical intervention could achieve the best immediate and long-term results in patients with cancer of the splenic flexure. The article considers publications on various types of surgical operations in cancer of the splenic flexure complicated by intestinal obstruction.

Выбор хирургической тактики при раке селезеночного изгиба имеет определенные сложности, обусловленные локализацией опухоли и особенностями лимфооттока. В случае наличия такого осложнения, как обтурационная непроходимость, определение наиболее эффективной хирургической стратегии остается дискутабельным.

Цель обзора – исходя из анализа непосредственных и отдаленных результатов лечения рака селезеночного изгиба, осложненного острой обтурационной непроходимостью, изучить оптимальный объем хирургического вмешательства в экстренной ситуации. В связи с низкой распространенностью данной патологии в научной литературе недостаточно информации о ее хирургическом лечении. Однако в последние годы в ряде исследований рассматривался вопрос о том, какой вид хирургического вмешательства обеспечит наилучшие непосредственные и отдаленные результаты у пациентов с раком селезеночного изгиба. В статье рассмотрены работы, изучившие различные виды хирургических операций, выполненных при раке селезеночного изгиба, осложненном обтурационной непроходимостью.

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