inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 110.35401/2541-9897-2023-26-1-116-122inovmed-644Research ArticleОБЗОРЫREVIEWSДостижения и проблемы применения миниинвазивных технологий в оперативном лечении рака прямой кишки у пациентов пожилого возрастаAdvances in and Issues With Minimally Invasive Surgery for Rectal Cancer in Elderly Patientshttps://orcid.org/0000-0002-7346-4610ШиралиевР. М-А.ShiralievR. M.-A.

Ширалиев Руслан Магомет-Аминович, врач-онколог, онкологическое отделение (абдоминальной онкологии) № 5

350040, Краснодар, ул. Димитрова, 146

Ruslan M.-A. Shiraliev, Oncologist, Oncology Unit No. 5 (Abdominal Oncology)

ulitsa Dimitrova 146, Krasnodar, 350040

g-unit-09@bk.ruhttps://orcid.org/0000-0003-3649-1027ПоловинкинВ. В.PolovinkinV. V.

Половинкин Вадим Владимирович, д. м. н., главный внештатный специалист колопроктолог министерства здравоохранения Краснодарского края, заведующий колопроктологическим отделением, НИИ – ККБ № 1 им. проф. С.В. Очаповского; заведующий кафедрой общей хирургии, Кубанский государственный медицинский университет

Краснодар

Vadim V. Polovinkin, Dr. Sci. (Med.), Chief Non-Staff Coloproctologist of the Ministry of Health of the Krasnodar Region, Head of the Coloproctology Unit, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Head of the General Surgery Department, Kuban State Medical University

Krasnodar

https://orcid.org/0000-0001-8873-8461МурашкоР. А.MurashkoR. A.

Мурашко Роман Алексеевич, к. м. н., главный внештатный специалист онколог министерства здравоохранения Краснодарского края; главный врач, Краевой онкологический диспансер № 1

Краснодар

Roman A. Murashko, Cand. Sci. (Med.), Chief Non-Staff Oncologist of the Ministry of Health of the Krasnodar Region; Chief Physician, Regional Oncological Clinic No. 1

Krasnodar

https://orcid.org/0000-0001-7839-6410КаушанскийВ. Б.KaushanskiyV. B.

Каушанский Валерий Борисович, к. м. н., заведующий онкологическим отделением (абдоминальной онкологии) № 5

Краснодар

Valeriy B. Kaushanskiy, Cand. Sci. (Med.), Head of Oncology Unit No. 5 (Abdominal Oncology)

Krasnodar

https://orcid.org/0000-0003-2429-0834ДоронинН. В.DoroninN. V.

Доронин Николай Владимирович, врач-онколог, онкологическое отделение (абдоминальной онкологии) № 5

Краснодар

Regional Oncological Clinic No. 1

Nikolai V. Doronin, Oncologist, Oncology Unit No. 5 (Abdominal Oncology)

Krasnodar

https://orcid.org/0000-0002-4197-2207ГуменюкС. Е.GumenyukS. E.

Сергей Евгеньевич Гуменюк, д. м. н., профессор, заведующий кафедрой хирургических болезней, декан педиатрического факультета

Краснодар

Sergey E. Gumenyuk, Dr. Sci. (Med.), Professor, Head of the Department of Surgical Diseases, Dean of the Faculty of Pediatrics

Krasnodar

Краевой онкологический диспансер № 1РоссияRegional Oncological Clinic No. 1Russian FederationНаучно-исследовательский институт – Краевая клиническая больница № 1 им. проф. С.В. Очаповского; Кубанский государственный медицинский университетРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical UniversityRussian FederationКубанский государственный медицинский университетРоссияKuban State Medical UniversityRussian Federation20233003202301116122Copyright © Ширалиев Р.М., Половинкин В.В., Мурашко Р.А., Каушанский В.Б., Доронин Н.В., Гуменюк С.Е., 20232023Ширалиев Р.М., Половинкин В.В., Мурашко Р.А., Каушанский В.Б., Доронин Н.В., Гуменюк С.Е.Shiraliev R.M., Polovinkin V.V., Murashko R.A., Kaushanskiy V.B., Doronin N.V., Gumenyuk S.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/644

В структуре злокачественных опухолей различных локализаций колоректальный рак занимает третье место после рака молочной железы и рака легких, а среди причин смерти от онкозаболеваний – второе место после рака легких.

Мультидисциплинарный подход в лечении рака прямой кишки базовый, тем не менее хирургический этап является основным. В настоящее время существует три метода, дополняющие традиционную открытую операцию по поводу рака прямой кишки: лапароскопическая хирургия, роботизированная хирургия и трансанальное тотальное мезоректальное иссечение.

Множественные сопутствующие заболевания и ограниченный функциональный резерв делают диагностику и хирургическое вмешательство у пожилых пациентов особенно сложной задачей. В связи с этим лечение пожилых людей с раком прямой кишки может быть связано с худшими результатами как открытой, так и малоинвазивной хирургии.

В обзорной статье рассмотрено актуальное состояние достижений применения миниинвазивных технологий в оперативном лечении рака прямой кишки в целом и у пациентов пожилого возраста в частности.

Colorectal cancer ranks third after breast cancer in terms of incidence and second after lung cancer in terms of mortality.

Management of rectal cancer requires a multidisciplinary approach, with the surgical management playing the main role. There are currently three resective techniques that complement the traditional open surgery: laparoscopic surgery, robotic surgery, and transanal total mesorectal excision.

Rectal cancer in elderly patients is particularly hard to diagnose and treat surgically due to multiple comorbidities and limited functional reserve. Treatment of such patients may be associated with poorer outcomes after both open and minimally invasive surgery.

This article reviews the current state of advances in minimally invasive surgery for rectal cancer in general and in elderly patients in particular.

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The authors declare that there are no conflicts of interest present.