References

gastro-j

Российский журнал гастроэнтерологии, гепатологии, колопроктологии

Russian Journal of Gastroenterology, Hepatology, Coloproctology

1382-43762658-6673

«Gastro» LLC

10.22416/1382-4376-2017-27-2-91-101

gastro-j-137

Research Article

НОВОСТИ КОЛОПРОКТОЛОГИИ

NEWS OF COLOPROCTOLOGY

Органосохраняющее лечение раннего рака прямой кишки

Organ-preserving treatment of early rectal cancer

Чернышов

С. В.

Chernyshov

S. V.

stchernyshov@gmail.com

Майновская

О. А.

Maynovskaya

O. A.

noemail@neicon.ru

Шелыгин

Ю. А.

Shelygin

Yu. A.

noemail@neicon.ru

Рыбаков

Е. Г.

Rybakov

Ye. G.

noemail@neicon.ru

ФГБУ «Государственный научный центр колопроктологии им. А.Н. Рыжих»РоссияFederal government-financed institution «Ryzhikh State Scientific Center of Coloproctology»Russian Federation

ФГБУ «Государственный научный центр колопроктологии им. А.Н. Рыжих»; ФГБОУ ДПО «РМАНПО»РоссияFederal government-financed institution «Ryzhikh State Scientific Center of Coloproctology»; State government-financed educational institution of postgraduate professional education «Russian Medical Academy of Continuing Medical Education»Russian Federation

2017

12082018

27291101

2018

Чернышов С.В., Майновская О.А., Шелыгин Ю.А., Рыбаков Е.Г.

Chernyshov S.V., Maynovskaya O.A., Shelygin Y.A., Rybakov Y.G.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.gastro-j.ru/jour/article/view/137

Цель обзора. Обобщить научные данные и составить современное представление о проблеме диагностики, стадирования и лечения раннего рака прямой кишки. Основные положения. Рассмотрена проблема изучения раннего рака прямой кишки в мире. Обсуждены методы диагностики и стадирования раннего рака и предраковых состояний. Обозначены перспективы развития тактики лечения больных ранним раком прямой кишки, обоснованы преимущества методик, предусматривающих сохранение прямой кишки. Заключение. Ранний рак прямой кишки - редко наблюдаемое новообразование, и, как правило, этим объясняются сложности его диагностики и стадирования. До настоящего времени вопрос о выборе метода хирургического лечения раннего рака прямой кишки является предметом для дискуссии, при этом выбор метода зависит не только от глубины инвазии опухоли, но и от наличия факторов риска поражения регионарных лимфатических узлов.

Aim of review. To generalize scientific data and to develop modern concept on the issue of diagnosis, staging and treatment of early rectal cancer. Summary. The world-wide issues of early rectal cancer are discussed in the review. Diagnostic methods and staging of the early cancer and premalignant states are discussed. Prospects of improvement of early rectal cancer treatment approach are outlined, advantages of the rectum-preserving techniques are justified. Conclusion. Early rectal cancer is rarely observed neoplasm that may be the main cause for diagnostic and staging difficulties. So far the choice of surgical method for early rectal cancer is a subject for discussion, at the same time the choice of method is determined not only by the tumor invasion depth, but also by the presence of risk factors for regional lymph node involvement.

ранний рак прямой кишкитрансанальная эндомикрохирургияместное иссечениетотальная мезоректумэктомия

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The authors declare that there are no conflicts of interest present.