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Ближайшие и отдаленные результаты использования селективной масляной химиоэмболизации ректальных артерий в комплексном лечении рака прямой кишки

Ближайшие и отдаленные результаты использования селективной масляной химиоэмболизации ректальных артерий в комплексном лечении рака прямой кишки

Abstract

Представлены ближайшие и отдаленные результаты комбинированного эндоваскулярного и хирургического лечения 8 больных местнораспро­страненным раком прямой кишки, сопровождающегося частичной толстокишечной непроходимостью. В сроки до 24-х часов после одномоментной 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, подтвержденное методами магнитнорезонансной томографии и трансректальной сонографии. Во всех случаях через 2–3 дня проведено радикальное хирургическое лечение. Общая 3-летняя выживаемость составила 87,5 %, безрецидивная выживаемость − 75 %. Ни в одном случае не было выявлено отдаленных метастазов.

Immediate and long term results of combination selective lipoidol oil chemoembolization of rectal arteries and surgery in eight patients with loco regional rectal carcinoma and partial colonic obstruction are presented. In 24 hours after simultaneous selective oily chemoembolization of upper midand low rectal arteries 100 % success was achieved: colonic obstruction resolved, tumor size decrease and positive effect on mesorectum was confirmed by MRI and transrectal ultrasound study. In all cases radical surgeries were done following 2 or 3 days after endovascular treatment. Common 3 years survivals consist 87,5 % and free of recurrence survivals 75 % consequently. In all cases distant metastases in other organs had no revealed.

Keywords

РАК ПРЯМОЙ КИШКИ, КОМБИНИРОВАННОЕ ЭНДОВАСКУЛЯРНОЕ И ХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ, ВНУТРИАРТЕРИАЛЬНАЯ СЕЛЕКТИВНАЯ МАСЛЯНАЯ ХИМИОЭМБОЛИЗАЦИЯ, ПРОЦЕДУРА RAICHEL

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold