Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical SurgeryВестник экспериментальной и клинической хирургии2070-478X2409-143XVoronezh State Medical University named after N.N. Burdenko41010.18499/2070-478X-2012-5-4-%pOriginal articlesОригинальные статьиUnknownRationale for the endovascular treatment of rectal cancerОбоснование целесообразности эндоваскулярного лечения рака прямой кишкиОльшанскийМ.С.

Doctor of Med. Science, Physician of the Dep. of Endovascular Diagnosis and Treatment of the Voronezh Regional Clinical Hospital № 1

д.м.н., врач отделения рентгенохирургических методов диагностики и лечения Воронежской областной клинической больницы №1

msolshansky2010@yandex.ruЖдановА.И,

Doctor of Med. Science, Prof., Head of the Hospital Surgery Department of Voronezh State Medical Academy named after N.N. Burdenko

д.м.н., проф., зав. кафедрой госпитальной хирургии Воронежской государственной медицинской академии им. Н.Н.Бурденко

admin@vestnik-surgery.comГлуховA.A.

Doctor of Medical Science, Professor, Head of the Department of General Surgery, Director of the Institute of Surgical Infections of Voronezh State Medical Academy named after N.N. Burdenko

д.м.н., проф., зав. кафедрой общей хирургии Воронежской государственной медицинской академии им. Н.Н.Бурденко

surgery-v@ya.ruКороткихН.Н,

Candidate of Med. Science, Head of the Department of Coloproctology of Voronezh Regional Clinical Hospital № 1

к.м.н., врач колопроктологического отделения Воронежской областной клинической больницы №1

admin@vestnik-surgery.comЕвтеевВ.В.

Candidate of Med. Science, Head of the Department of Endovascular Diagnosis and Treatment of the Voronezh Regional Clinical Hospital № 1

к.м.н., зав. отделением рентгенохирургических методов диагностики и лечения Воронежской областной клинической больницы №1

admin@vestnik-surgery.comVoronezh Regional Clinical Hospital № 1Воронежская областная клиническая больница №1Voronezh N. N. Burdenko State Medical AcademyВоронежская государственная медицинская академия им. Н.Н.Бурденко24122012540105201601052016Copyright ©; 2012, ., ., ., ., .Copyright ©; 2012, Ольшанский М., Жданов А., Глухов A., Коротких Н., Евтеев В.2012., ., ., ., .Ольшанский М., Жданов А., Глухов A., Коротких Н., Евтеев В.http://creativecommons.org/licenses/by-nc-nd/4.0https://vestnik-surgery.com/journal/article/view/410

Immediate and long-term results of combined endovascular and surgical treatment of 10 patients with locally advanced rectal cancer accompanied by colonic obstruction are presented. In the period of up to 24 hours after the simultaneous selective oily chemoembolization of the upper, middle and lower rectal arteries the positive result was obtained in 100% cases: resolution of colonic obstruction, decrease in size of tumor and improvement of the condition of the mesorectum were confirmed by magnetic resonance imaging and transrectal ultrasound. In nine cases radical surgical treatment was conducted after 2-3 days. The overall 3-year survival rate was 87.5%, disease-free survival rate was 75%. In all cases distant metastases in the liver were not observed.

Представлены ближайшие и отдаленные результаты комбини­рованного эндоваскулярного и хирургического лечения 10 больных местнораспро­страненным раком прямой кишки, сопровождающимся толстокишечной непрохо­димостью. В сроки до 24-х часов после одновременной селективной масляной химиоэмболизации верхних, средних и нижних прямо­кишечных артерий в 100% случаев получен положительный результат: разрешение толстокишечной непрохо­димости, уменьшение объема опухоли и улучшение состояния мезоректума, подтвержденные данными магнитнорезонансной томографии и трансректального УЗИ. В девяти случаях через 2-3 дня проведено радикальное хирургическое лечение. Общая 3-х летняя выживаемость составила 87,5%, безрецидивная выживаемость 75%. Ни в одном случае не отмечено отдаленных метастазов в печень.

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