Онкология MINIMALLY INVASIVE CANCER SURGERY SOLID TUMORS OF THE GASTROINTESTINAL TRACT (LITERATURE REVIEW)
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ONCOLOGY BULLETIN OF THE VOLGA REGION

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MINIMALLY INVASIVE CANCER SURGERY SOLID TUMORS OF THE GASTROINTESTINAL TRACT (LITERATURE REVIEW)

A.M. Karachun, Y.V. Pelipas, D.V. Gladyshev, S.Yu. Dvoretskiy, P.A. Sapronov, A.S. Petrov, E.A. Petrov, E.V. Voshchinin

Petrov’s Scientific Research Oncology Center, St. Petersburg

 

Karachun A.M. — Cand. Med. Sc., Senior Researcher, Head of the 4th surgical department of the Petrov’s Scientific Research Oncology Center

68 Leningradskata St., settlement Pesochniy, St. Petersburg, Russian Federation, tel. (812) 439-95-15, e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.

Abstract. Surgical treatment is the primary approach to patients with solid gastrointestinal tumors. After the rapid spread of laparoscopic techniques in the treatment of benign diseases, surgeons started to consider mini-invasive surgery to be suitable for malignancies as well. However, operating malignancies requires not only to achieve negative surgical margin (R0), but to perform an adequate lymph node dissection in order to complete the intervention. Well designed and thoroughly controlled large studies, estimating short- and long-term outcomes and quality of life, are required to decide, whether laparoscopic approach is applicable in abdominal surgery. This review renders current evidence on safety and oncological adequacy of mini-invasive surgery in treatment of malignancies of oesophagus, stomach, colon and rectum. The conclusion is made, that with sufficient equipment and experience mini-invasive approach is safe and promising.

Key words: esophageal cancer, gastric cancer, colorectal cancer, laparoscopic surgery, esophagectomy, gastrectomy, total mesorectal excisionе





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