Rationale for the endovascular treatment of rectal cancer


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Abstract

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.

About the authors

Воронежская государственная медицинская академия им. Н.Н.Бурденко Воронежская областная клиническая больница №1

Author for correspondence.
Email: msolshansky2010@yandex.ru
Ольшанский Михаил Сергеевич – д.м.н., врач отде- ления рентгенохирургических методов диагности- ки и лечения Воронежской областной клиническа- ой больницы №1 Russian Federation

Воронежская государственная медицинская академия им. Н.Н.Бурденко Воронежская областная клиническая больница №1

Email: surgery-v@ya.ru
Глухов Александр Анатольевич – д.м.н., проф., зав. кафедрой общей хирургии Воронежской государ- ственной медицинской академии им. Н.Н.Бурденко Russian Federation

Воронежская государственная медицинская академия им. Н.Н.Бурденко Воронежская областная клиническая больница №1

Email: author@vestnik-surgery.com
Жданов Александр Иванович – д.м.н., проф., зав. кафедрой госпитальной хирургии Воронеж- ской государственной медицинской академии им. Н.Н.Бурденко Russian Federation

Воронежская государственная медицинская академия им. Н.Н.Бурденко Воронежская областная клиническая больница №1

Email: author@vestnik-surgery.com
Коротких Николай Николаевич – к.м.н., врач ко- лопроктологического отделения Воронежской об- ластной клинической больницы №1 Russian Federation

Воронежская государственная медицинская академия им. Н.Н.Бурденко Воронежская областная клиническая больница №1

Email: author@vestnik-surgery.com
Евтеев Вячеслав Валерьевич – к.м.н., зав. отделе- нием рентгенохирургических методов диагностики и лечения Воронежской областной клинической больницы №1 Russian Federation

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