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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">grekov</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник хирургии имени И.И. Грекова</journal-title><trans-title-group xml:lang="en"><trans-title>Grekov's Bulletin of Surgery</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0042-4625</issn><issn pub-type="epub">2686-7370</issn><publisher><publisher-name>Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/0042-4625-2019-178-5-132-138</article-id><article-id custom-type="elpub" pub-id-type="custom">grekov-1280</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>ПЕРИОПЕРАЦИОННЫЕ ИЗМЕНЕНИЯ МИКРОБИОЦЕНОЗА В ХИРУРГИЧЕСКОМ ЛЕЧЕНИИ БОЛЬНЫХ КОЛОРЕКТАЛЬНЫМ РАКОМ (обзор литературы)</article-title><trans-title-group xml:lang="en"><trans-title>PERIOPERATIVE CHANGES OF MICROBIOCENOSIS IN SURGICAL TREATMENT OF PATIENTS WITH COLORECTAL CANCER (review of literature)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8514-5377</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Захаренко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakharenko</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Захаренко Александр Анатольевич - д-р мед. наук, доцент кафедры онкологии, руководить отдела онкохирургии НИИ хирургии и неотложной медицины</p><p>SPIN-код: 3209-8677</p></bio><bio xml:lang="en"><p>Aleksandr A. Zakharenko</p></bio><email xlink:type="simple">9516183@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0224-8697</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Семиглазов</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Semiglazov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Семиглазов Владислав Владимирович - д-р мед. наук, зав. кафедрой онкологии</p></bio><bio xml:lang="en"><p>Vladislav V. Semiglazov</p></bio><email xlink:type="simple">ssemiglazov@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9927-5607</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тен</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ten</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тен Олег Андреевич - врач-хирург НИИ хирургии и неотложной медицины</p><p>SPIN-код: 7551-8850 AuthorID: 937324</p></bio><bio xml:lang="en"><p>Oleg A. Ten</p></bio><email xlink:type="simple">ten888oleg@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1445-7277</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Джамилов</surname><given-names>Ш. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Djamilov</surname><given-names>Sh. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Джамилов Шерали Раджибалиевич - врач-хирург НИИ хирургии и неотложной медицины</p><p>SPIN-код:4060-0371</p></bio><bio xml:lang="en"><p>Sherali R. Djamilov</p></bio><email xlink:type="simple">scherali88@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0830-3797</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Беляев</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Belyaev</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Беляев Михаил Алексеевич - канд. мед. наук, руководить отделения абдоминальной онкологии НИИ хирургии и неотложной медицины</p><p>SPIN-код: 8885-3644</p></bio><bio xml:lang="en"><p>Mikhail A. Belyaev</p></bio><email xlink:type="simple">mishavma@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3086-6457</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рыбальченко</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Rybal’chenko</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рыбальченко Виталий Александрович - врач-хирург НИИ хирургии и неотложной медицины</p><p>SPIN-код: 6517-5793</p><p> </p></bio><bio xml:lang="en"><p>Vitalij A. Rybal’chenko</p></bio><email xlink:type="simple">vitaliirybalchenko@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0224-8697</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Курсенко</surname><given-names>Р. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kursenko</surname><given-names>R V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Курсенко Роман Вадимович - ординатор кафедры факультетской хирургии с курсом лапароскопической и сердечно-сосудистой хирургии</p></bio><bio xml:lang="en"><p>Roman V. Kursenko</p></bio><email xlink:type="simple">romakurss@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4131-6293</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Багненко</surname><given-names>С. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Bagnenko</surname><given-names>S. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Багненко Сергей Фёдорович - д-р мед. наук, профессор, академик РАН, ректор</p></bio><bio xml:lang="en"><p>Sergey F. Bagnenko</p></bio><email xlink:type="simple">bagnenko_spb@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Санкт-Петербургский государственный медицинский университет имени академика И.П.Павлова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>18</day><month>09</month><year>2019</year></pub-date><volume>178</volume><issue>5</issue><fpage>132</fpage><lpage>138</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Захаренко А.А., Семиглазов В.В., Тен О.А., Джамилов Ш.Р., Беляев М.А., Рыбальченко В.А., Курсенко Р.В., Багненко С.Ф., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Захаренко А.А., Семиглазов В.В., Тен О.А., Джамилов Ш.Р., Беляев М.А., Рыбальченко В.А., Курсенко Р.В., Багненко С.Ф.</copyright-holder><copyright-holder xml:lang="en">Zakharenko A.A., Semiglazov V.V., Ten O.A., Djamilov S.R., Belyaev M.A., Rybal’chenko V.A., Kursenko R.V., Bagnenko S.F.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.vestnik-grekova.ru/jour/article/view/1280">https://www.vestnik-grekova.ru/jour/article/view/1280</self-uri><abstract><p>Периоперационные изменения микробиоценоза у онкологических больных – широко исследуемая тема в колоректальной хирургии. В том числе, активно изучается роль микробиоты толстой кишки в развитии гнойно-воспалительных послеоперационных осложнений и ее влияние на возможный рецидив рака. Всю научную литературу в целом можно разделить на несколько тематических групп. Часть рассматриваемых статей посвящена состоянию микробиоты толстой кишки в периоперационный период, ее влиянию на послеоперационные осложнения, в частности, на несостоятельность анастамозов и развитие колита в послеоперационном периоде при дисбиозах. В ряде работ микробиота рассматривается в качестве лечебного инструмента. Также рассматриваются исследования по влиянию антибиотикотерапии на развитие инфекции Clostridium Difficile. Представлен обзор актуальных зарубежных научных исследований микробиоценоза у больных раком толстой кишки, результаты которых могут успешно применяться в отечественной медицинской практике.</p><p>Авторы заявили об отсутствии конфликта интересов.</p><p>Авторы подтверждают, что соблюдены права людей, принимавших участие в исследовании, включая получение информированного согласия в тех случаях, когда оно необходимо, и правила обращения с животными в случаях их использования в работе. Подробная информация содержится в Правилах для авторов.</p></abstract><trans-abstract xml:lang="en"><p>Perioperative changes in microbiocenosis in patients with oncological diseases is the widely researched theme in colorectal surgery. In particular, the role of the colon microbiome in the development of purulent-inflammatory postoperative complications and possible significance in cancer disease recurrence have been actively investigated. Data on the colon microbiome tends to be divided on several groups. Part of the considered articles was focused on the condition of the colon microbiome during the perioperative period and its effect on the postoperative complications, in particular on the anastomotic leakage and the development of colitis in the postoperative period in dysbiosis statement. On the other hand, microbiome was evaluated to be a treatment option by the several studies. The effect of antibiotic therapy on the development of Clostridium Difficile infection was investigated as well. The most relevant and up-to-date scientific researches on the microbiocenosis in patients with colorectal cancer were analyzed. The collected data can be used successfully for practical medical using in Russia.</p><p>The authors declare no conflict of interest.</p><p>The authors confirm that they respect the rights of the people participated in the study, including obtaining informed consent when it is necessary, and the rules of treatment of animals when they are used in the study. Author Guidelines contains the detailed information.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>микробиоценоз</kwd><kwd>микробиота</kwd><kwd>пробиотики</kwd><kwd>колоректальный рак</kwd><kwd>антибиотикопрофилактика</kwd><kwd>осложнения</kwd></kwd-group><kwd-group xml:lang="en"><kwd>microbiome</kwd><kwd>microbiota</kwd><kwd>probiotics</kwd><kwd>colorectal cancer</kwd><kwd>antibiotic prophylaxis</kwd><kwd>complications</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Anthony T., Murray B. W., Sum-Ping J. T. et al. Evaluating an evidence – based bundle for preventing surgical site infection // Arch surgery. 2011. Vol. 146 (3). P. 263–269.</mixed-citation><mixed-citation xml:lang="en">Anthony T., Murray B. W., Sum-Ping J. T. et al. Evaluating an evidence – based bundle for preventing surgical site infection. 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