grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal 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 Russia10.24884/0042-4625-2015-174-4-30-33grekov-86Research ArticleВОПРОСЫ ОБЩЕЙ НЕОТЛОЖНОЙ ХИРУРГИИPROBLEMS OF GENERAL AND SPECIAL SURGERYПРОГНОЗИРОВАНИЕ РИСКА ЛАТЕРАЛЬНОГО МЕТАСТАЗИРОВАНИЯ ПРИ РАКЕ ПРЯМОЙ КИШКИPREDICTION OF RISK FACTORS OF LATERAL LYMPH NODE METASTASIS IN RECTAL CANCERЗахаренкоА. А.ZakharenkoA. A.9516183@mail.ruБеляевМ. А.BelyaevM. A.8628926@mail.ruМорозовА. Н.MorozovA. N.alexx-vma@mail.ruДаниловИ. Н.DanilovI. N.ivandanilov75@mail.ruСтаценкоА. А.StatsenkoA. A.statsenko_a@mail.ruТрушинА. А.TrushinA. A.anton.trushin@rambler.ruТенО. А.TenO. A.ten888oleg@mail.ruВовинК. Н.VovinK. N.vovinmd@gmail.comПервый Санкт-Петербургский государственный медицинский университет им. акад. И. П. ПавловаРоссияPavlov First Saint-Petersburg State Medical UniversityRussian Federation20152808201517443033Copyright © Захаренко А.А., Беляев М.А., Морозов А.Н., Данилов И.Н., Стаценко А.А., Трушин А.А., Тен О.А., Вовин К.Н., 20152015Захаренко А.А., Беляев М.А., Морозов А.Н., Данилов И.Н., Стаценко А.А., Трушин А.А., Тен О.А., Вовин К.Н.Zakharenko A.A., Belyaev M.A., Morozov A.N., Danilov I.N., Statsenko A.A., Trushin A.A., Ten O.A., Vovin K.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/86

Standard methods of diagnostics haven’t got a proper sensitivity and specificity concerning assessment of regional nodal involvement in case of rectal cancer. Therefore it is necessary to look for new method of diagnostics, detect risk factors and unfavorable prognosis in relation to lateral lymph node metastasis. At the same time, there should be a differentiated approach to the choice of therapeutic management in rectal cancer. Investigation of variability of blood supply of the rectum could be an additional method of diagnostics in rectal cancer.

рак прямой кишкилимфогенное метастазированиерецидивлимфатические узлылатеральные метастазыrectal cancerlymphatic cancer spreadrelapselymph nodeslateral metastasisReferencesГайворонский И. В. Нормальная анатомия человека. В 2 т. СПб.: СпецЛит, 2001. Т. 2. 424 с.Гайворонский И. В. Нормальная анатомия человека. В 2 т. СПб.: СпецЛит, 2001. Т. 2. 424 с.Одарюк Т. С., Воробьев Г. И., Шелыгин Ю. А. Хирургия рака прямой кишки. М.: ООО «Дедалус», 2005. 256 с.Одарюк Т. С., Воробьев Г. И., Шелыгин Ю. А. Хирургия рака прямой кишки. М.: ООО «Дедалус», 2005. 256 с.Синельников Р. Д., Синельников Я. Р. Атлас анатомии человека: учеб. пособие. 2-е изд., стереотипное. В 4 т. Т. 3. М.: Медицина, 1996. 232 с.Синельников Р. Д., Синельников Я. Р. Атлас анатомии человека: учеб. пособие. 2-е изд., стереотипное. В 4 т. Т. 3. М.: Медицина, 1996. 232 с.Al-Sukhni E., Messenger D. E., Charles Victor J. et al. Do MRI reports contain adequate preoperative staging information for end users to make appropriate treatment decisions for rectal cancer? // Ann. Surg. Oncol. 2013. Vol. 20, № 4. Р. 1148-1155.Al-Sukhni E., Messenger D. E., Charles Victor J. et al. Do MRI reports contain adequate preoperative staging information for end users to make appropriate treatment decisions for rectal cancer? // Ann. Surg. Oncol. 2013. Vol. 20, № 4. Р. 1148-1155.Ayoub S. Arterial supply to the human rectum // Acta Anat. 1978. Vol. 100. Р. 317-327.Ayoub S. Arterial supply to the human rectum // Acta Anat. 1978. Vol. 100. Р. 317-327.Bell S., Sasaki J., Sinclair G. et al. Understanding the anatomy of lymphatic drainage and the use of blue-dye mapping to determine the extent of lymphadenectomy in rectal cancer surgery: unresolved issues // Colorectal Dis. 2009. Vol. 11, № 5. P. 443-449.Bell S., Sasaki J., Sinclair G. et al. Understanding the anatomy of lymphatic drainage and the use of blue-dye mapping to determine the extent of lymphadenectomy in rectal cancer surgery: unresolved issues // Colorectal Dis. 2009. Vol. 11, № 5. P. 443-449.Bilhim T., Pereira J. A., Tinto H. R. et al. Middle rectal artery: myth or reality? Retrospective study with CT angiography and digital subtraction angiography // Surg. Radiol. Anat. 2013. Vol. 35, № 6. Р. 517-522.Bilhim T., Pereira J. A., Tinto H. R. et al. Middle rectal artery: myth or reality? Retrospective study with CT angiography and digital subtraction angiography // Surg. Radiol. Anat. 2013. Vol. 35, № 6. Р. 517-522.Bujko K., Nowacki M. P., Nasierowska-Guttmejer A. et al. Long-term results of a randomized trial comparing preoperative short-course radiotherapy with preoperative conventionally fractionated chemoradiation for rectal cancer // Brit. J. Surg. 2006. Vol. 93, № 10. Р. 1215-1223.Bujko K., Nowacki M. P., Nasierowska-Guttmejer A. et al. Long-term results of a randomized trial comparing preoperative short-course radiotherapy with preoperative conventionally fractionated chemoradiation for rectal cancer // Brit. J. Surg. 2006. Vol. 93, № 10. Р. 1215-1223.Didio L. J., Diaz-Franco C., Schemainda R., Bezerra A. J. Morphology of the middle rectal arteries. A study of 30 cadaveric dissections // Surg. Radiol. Anat. 1986. Vol. 8, № 4. Р. 229-236.Didio L. J., Diaz-Franco C., Schemainda R., Bezerra A. J. Morphology of the middle rectal arteries. A study of 30 cadaveric dissections // Surg. Radiol. Anat. 1986. Vol. 8, № 4. Р. 229-236.Dighe S., Purkayastha S., Swift I. et al. Diagnostic precision of CT in local staging of colon cancers: a meta-analysis // Clin. Radiol. 2010. Vol. 65, № 9. P. 708-719.Dighe S., Purkayastha S., Swift I. et al. Diagnostic precision of CT in local staging of colon cancers: a meta-analysis // Clin. Radiol. 2010. Vol. 65, № 9. P. 708-719.Kapiteijn E., Marijnen C. A., Nagtegaal I. D. et al. Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer // N. Engl. J. Med. 2001. Vol. 345, № 9. P. 638-646.Kapiteijn E., Marijnen C. A., Nagtegaal I. D. et al. Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer // N. Engl. J. Med. 2001. Vol. 345, № 9. P. 638-646.Miles W. E. The spread of cancer of the rectum // Lancet. 1925. № 205. Р. 1218-1219.Miles W. E. The spread of cancer of the rectum // Lancet. 1925. № 205. Р. 1218-1219.Morita T., Murata A., Koyama M. et al. Current status of autonomic nerve-preserving surgery for mid and lower rectal cancers: Japanese experience with lateral node dissection // Dis. Colon. Rectum. 2003. Vol. 46, № 10. Suppl. Р. 78-88.Morita T., Murata A., Koyama M. et al. Current status of autonomic nerve-preserving surgery for mid and lower rectal cancers: Japanese experience with lateral node dissection // Dis. Colon. Rectum. 2003. Vol. 46, № 10. Suppl. Р. 78-88.Moriya Y., Sugihara K., Akasu T., Fujita S. Importance of extended lymphadenectomy with lateral node dissection for advanced lower rectal cancer // World J. Surg. 1997. Vol. 21, № 7. Р. 728-732.Moriya Y., Sugihara K., Akasu T., Fujita S. Importance of extended lymphadenectomy with lateral node dissection for advanced lower rectal cancer // World J. Surg. 1997. Vol. 21, № 7. Р. 728-732.Niekel M. C., Bipat S., Stoker J. Diagnostic imaging of colorectal liver metastases with CT, MR imaging, FDG PET, and/or FDG PET/CT: a meta-analysis of prospective studies including patients who have not previously undergone treatment // Radiology. 2010. Vol. 257, № 3. Р. 674-684.Niekel M. C., Bipat S., Stoker J. Diagnostic imaging of colorectal liver metastases with CT, MR imaging, FDG PET, and/or FDG PET/CT: a meta-analysis of prospective studies including patients who have not previously undergone treatment // Radiology. 2010. Vol. 257, № 3. Р. 674-684.Sauer R., Becker H., Hohenberger W. et al. Preoperative versus postoperative chemoradiotherapy for rectal cancer // N. Engl. J. Med. 2004. Vol. 351, № 17. P. 1731-1740.Sauer R., Becker H., Hohenberger W. et al. Preoperative versus postoperative chemoradiotherapy for rectal cancer // N. Engl. J. Med. 2004. Vol. 351, № 17. P. 1731-1740.Sebag-Montefiore D., Stephens R. J., Steele R. et al. Preoperative radiotherapy versus selective posto perative chemoradiotherapy in patients with rectal cancer (MRC CR07 and NCIC-CTG C016): a multicentre, randomised trial // Lancet. 2009. Vol. 373. P. 811-820.Sebag-Montefiore D., Stephens R. J., Steele R. et al. Preoperative radiotherapy versus selective posto perative chemoradiotherapy in patients with rectal cancer (MRC CR07 and NCIC-CTG C016): a multicentre, randomised trial // Lancet. 2009. Vol. 373. P. 811-820.Shafik A., Mostafa H. Study of the arterial pattern of the rectum and its clinical application // Acta Anat. (Basel). 1996. Vol. 157, № 1. Р. 80-86.Shafik A., Mostafa H. Study of the arterial pattern of the rectum and its clinical application // Acta Anat. (Basel). 1996. Vol. 157, № 1. Р. 80-86.Wong R. K., Berry S., Spithoff K. et al. Preoperative or postoperative therapy for stage II or III rectal cancer: an updated practice guideline // Clin. Oncol. 2010. Vol. 22, № 4. P. 265-271.Wong R. K., Berry S., Spithoff K. et al. Preoperative or postoperative therapy for stage II or III rectal cancer: an updated practice guideline // Clin. Oncol. 2010. Vol. 22, № 4. P. 265-271.

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