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Musaev .R.
Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina, Moskva
Polynovsky A.V.
Blokhin Russian Cancer Research Center, Ministry of Health of the Russian Federation, Moscow
Rasulov A.O.
Department of colorectal cancer
Tsaryuk V.F.
Blokhin Russian Cancer Research Center, Ministry of Health of the Russian Federation, Moscow
Kuzmichev D.V.
Department of colorectal cancer
Sushentsov E.A.
Blokhin Russian Cancer Research Center, Ministry of Health of the Russian Federation, Moscow
Baliasnikova S.S.
department of diagnostic imaging and interventional radiology Russian Cancer Research Center named after N.N. Blokhin, Moscow
Safronov D.I.
Blokhin Russian Cancer Research Center, Ministry of Health of the Russian Federation, Moscow
The possibilities of treatment of recurrent colorectal cancer with sacral invasion
Journal: Pirogov Russian Journal of Surgery. 2017;(3): 24‑35
Views: 5099
Downloaded: 61
To cite this article:
Musaev R, Polynovsky AV, Rasulov AO, et al. . The possibilities of treatment of recurrent colorectal cancer with sacral invasion. Pirogov Russian Journal of Surgery.
2017;(3):24‑35. (In Russ.)
https://doi.org/10.17116/hirurgia2017324-35
Aim. To describe current methods of surgical treatment of rare form of recurrent rectal cancer with sacral invasion. Material and methods. The article presents the methodology for the treatment of patients with recurrent colorectal cancer and sacral invasion using preoperative chemoradiotherapy followed by high-tech surgery of recurrent tumor removal with sacral resection at various levels (including high intersection at S1 level). Conclusion. It was concluded that chemoradiotherapy is indicated in patients with recurrent colorectal cancer if it was not made at the first stage of treatment. Additional radiotherapy up to optimum overall focal dose prior to surgery is advisable in those patients who previously underwent radiotherapy with partial dose. This type of operations has high risk of complications and requires a personalized approach to the selection of patients. However, R0-resection is associated with favorable long-term prognosis, significantly increased survival and overall quality of life. Combined surgery for recurrent tumors with sacral invasion should be performed by multidisciplinary surgical team in specialized centers using current possibilities of anesthesiology and intensive care.
Authors:
Musaev .R.
Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina, Moskva
Polynovsky A.V.
Blokhin Russian Cancer Research Center, Ministry of Health of the Russian Federation, Moscow
Rasulov A.O.
Department of colorectal cancer
Tsaryuk V.F.
Blokhin Russian Cancer Research Center, Ministry of Health of the Russian Federation, Moscow
Kuzmichev D.V.
Department of colorectal cancer
Sushentsov E.A.
Blokhin Russian Cancer Research Center, Ministry of Health of the Russian Federation, Moscow
Baliasnikova S.S.
department of diagnostic imaging and interventional radiology Russian Cancer Research Center named after N.N. Blokhin, Moscow
Safronov D.I.
Blokhin Russian Cancer Research Center, Ministry of Health of the Russian Federation, Moscow
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