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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">10.24884/0042-4625-2016-175-1-11-17</article-id><article-id custom-type="elpub" pub-id-type="custom">grekov-163</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>ВОПРОСЫ ОБЩЕЙ НЕОТЛОЖНОЙ ХИРУРГИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PROBLEMS OF GENERAL AND SPECIAL SURGERY</subject></subj-group></article-categories><title-group><article-title>ВОЗМОЖНОСТИ ИСПОЛЬЗОВАНИЯ КРИОХИРУРГИЧЕСКОЙ МЕТОДИКИ ПРИ ЛЕЧЕНИИ БОЛЬНЫХ С ГЛУБИННЫМИ ОПУХОЛЯМИ ГОЛОВНОГО МОЗГА</article-title><trans-title-group xml:lang="en"><trans-title>POSSIBILITIES OF USING CRYOSURGICAL METHOD IN TREATMENT OF DEPTH BRAIN TUMORS</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Холявин</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kholyavin</surname><given-names>A. I.</given-names></name></name-alternatives><email xlink:type="simple">Kholyavin@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Низковолос</surname><given-names>В. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Nizkovolos</surname><given-names>V. B.</given-names></name></name-alternatives><email xlink:type="simple">Nizk@ihb.spb.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мартынов</surname><given-names>Б. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Martynov</surname><given-names>B. V.</given-names></name></name-alternatives><email xlink:type="simple">Оmartynova2005@rambler.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Свистов</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Svistov</surname><given-names>D. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аничков</surname><given-names>А. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Anichkov</surname><given-names>A. D.</given-names></name></name-alternatives><email xlink:type="simple">Stereo@ihb.spb.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алексеева</surname><given-names>Н. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Alekseeva</surname><given-names>N. P.</given-names></name></name-alternatives><email xlink:type="simple">spbu@spbu.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Институт мозга человека им. Н. П. Бехтеревой</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N. P.Bekhtereva Institute of human brain</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Военно-медицинская академия им. С. М. Кирова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>S. M. Kirov Military Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>28</day><month>02</month><year>2016</year></pub-date><volume>175</volume><issue>1</issue><fpage>11</fpage><lpage>17</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Холявин А.И., Низковолос В.Б., Мартынов Б.В., Свистов Д.В., Аничков А.Д., Алексеева Н.П., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Холявин А.И., Низковолос В.Б., Мартынов Б.В., Свистов Д.В., Аничков А.Д., Алексеева Н.П.</copyright-holder><copyright-holder xml:lang="en">Kholyavin A.I., Nizkovolos V.B., Martynov B.V., Svistov D.V., Anichkov A.D., Alekseeva N.P.</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/163">https://www.vestnik-grekova.ru/jour/article/view/163</self-uri><trans-abstract xml:lang="en"><p>Cryosurgical method is used in treatment of patients with glial tumors which localized in depth and functionally meaningful brain areas. These patients are generally considered as inoperable and receive conservative treatment. Their prognosis has become worse as compared to the patients whose brain tumor is available for surgical removal. The authors used a multiway stereotactic destruction of tumors by cryosurgical cannula, which is inserted in bone cutter opening using manipulator. MR-imaging and PET/CT of brain were applied for stereotactic guidance. The majority of patients who underwent this operation didn’t noticed any loss of quality of life. The rates of survival were higher than corresponding indicators for patients who were treated only by chemo- or radiation therapy and the rates were equal to the patients underwent the radical operations. Thus, the multiway stereotactic cryodestruction is a new, safe and effective method of surgical treatment for the patients with tumor localization in such areas, that their location blocked an application of traditional surgical removal by open method.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>астроцитома головного мозга</kwd><kwd>стереотаксическое наведение</kwd><kwd>криохирургия</kwd><kwd>позитронно-эмиссионная томография</kwd><kwd>магнитно-резонансная томография</kwd></kwd-group><kwd-group xml:lang="en"><kwd>astrocytoma of the brain</kwd><kwd>stereotactic guidance</kwd><kwd>cryosurgery</kwd><kwd>PET</kwd><kwd>MR-imaging</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">Аничков А. Д., Полонский Ю. З., Низковолос В. Б. Стереотаксические системы. СПб.: Наука, 2006. 142 с.</mixed-citation><mixed-citation xml:lang="en">Аничков А. Д., Полонский Ю. З., Низковолос В. 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