INTERSPHINCTERIC RESECTIONS FOR LOW RECTAL CANCER WITH ANORECTAL REGION INVOLVEMENT

Preoperative chemoradiotherapy and surgery for low rectal cancer involving anorectal region are discussed in this article.Subjects .and .methods . 42 patients were included in this study, 18 received neoadjuvant chemoradiotherapy 5 × 5 Gy and 24 had chemo-radiotherapy up to 40 Gy in 4 Gy fractions.R...

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Main Authors: Yu. A. Barsukov, A. G. Perevoshchikov, D. V. Kuzmichev, V. A. Аliyev, A. G. Malikhov, I. Sh. Tatayev, S. S. Balyasnikova, A. V. Polynovskiy
Format: Article
Language:Russian
Published: “ABV-press” Publishing house”, LLC 2015-02-01
Series:Тазовая хирургия и онкология
Subjects:
Online Access:https://ok.abvpress.ru/jour/article/view/91
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author Yu. A. Barsukov
A. G. Perevoshchikov
D. V. Kuzmichev
V. A. Аliyev
A. G. Malikhov
I. Sh. Tatayev
S. S. Balyasnikova
A. V. Polynovskiy
author_facet Yu. A. Barsukov
A. G. Perevoshchikov
D. V. Kuzmichev
V. A. Аliyev
A. G. Malikhov
I. Sh. Tatayev
S. S. Balyasnikova
A. V. Polynovskiy
author_sort Yu. A. Barsukov
collection DOAJ
description Preoperative chemoradiotherapy and surgery for low rectal cancer involving anorectal region are discussed in this article.Subjects .and .methods . 42 patients were included in this study, 18 received neoadjuvant chemoradiotherapy 5 × 5 Gy and 24 had chemo-radiotherapy up to 40 Gy in 4 Gy fractions.Results . Treatment had acceptable toxicity levels with grade III toxicity of 11.1 % and 8.3 % accordingly. 20.8 % had pathological complete response following 40 Gy chemoradiotherapy. 22.2 % patients in 5 × 5 Gy group had intershinctering resections comparing to 75 % patients in 40 Gy group. No local or distant recurrences were observed with a median followup of 42.9 months and 18.1 months accordingly.Conclusions . Developed treatment scheme have high efficacy, improving surgery ablastics and leading to good long-term outcome, improving sphincter preservation rate and patients quality of life.
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spelling doaj.art-31a65796ad6e4214b1add5a1445e929f2023-08-02T09:16:27Zrus“ABV-press” Publishing house”, LLCТазовая хирургия и онкология2686-95942015-02-0104344110.17650/2220-3478-2013-0-4-34-4185INTERSPHINCTERIC RESECTIONS FOR LOW RECTAL CANCER WITH ANORECTAL REGION INVOLVEMENTYu. A. Barsukov0A. G. Perevoshchikov1D. V. Kuzmichev2V. A. Аliyev3A. G. Malikhov4I. Sh. Tatayev5S. S. Balyasnikova6A. V. Polynovskiy7N.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, MoscowN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, MoscowN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, MoscowN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, MoscowN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, MoscowN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, MoscowN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, MoscowN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, MoscowPreoperative chemoradiotherapy and surgery for low rectal cancer involving anorectal region are discussed in this article.Subjects .and .methods . 42 patients were included in this study, 18 received neoadjuvant chemoradiotherapy 5 × 5 Gy and 24 had chemo-radiotherapy up to 40 Gy in 4 Gy fractions.Results . Treatment had acceptable toxicity levels with grade III toxicity of 11.1 % and 8.3 % accordingly. 20.8 % had pathological complete response following 40 Gy chemoradiotherapy. 22.2 % patients in 5 × 5 Gy group had intershinctering resections comparing to 75 % patients in 40 Gy group. No local or distant recurrences were observed with a median followup of 42.9 months and 18.1 months accordingly.Conclusions . Developed treatment scheme have high efficacy, improving surgery ablastics and leading to good long-term outcome, improving sphincter preservation rate and patients quality of life.https://ok.abvpress.ru/jour/article/view/91low rectal cancer involving anorectal regioncombined treatmentintersphincteric resections
spellingShingle Yu. A. Barsukov
A. G. Perevoshchikov
D. V. Kuzmichev
V. A. Аliyev
A. G. Malikhov
I. Sh. Tatayev
S. S. Balyasnikova
A. V. Polynovskiy
INTERSPHINCTERIC RESECTIONS FOR LOW RECTAL CANCER WITH ANORECTAL REGION INVOLVEMENT
Тазовая хирургия и онкология
low rectal cancer involving anorectal region
combined treatment
intersphincteric resections
title INTERSPHINCTERIC RESECTIONS FOR LOW RECTAL CANCER WITH ANORECTAL REGION INVOLVEMENT
title_full INTERSPHINCTERIC RESECTIONS FOR LOW RECTAL CANCER WITH ANORECTAL REGION INVOLVEMENT
title_fullStr INTERSPHINCTERIC RESECTIONS FOR LOW RECTAL CANCER WITH ANORECTAL REGION INVOLVEMENT
title_full_unstemmed INTERSPHINCTERIC RESECTIONS FOR LOW RECTAL CANCER WITH ANORECTAL REGION INVOLVEMENT
title_short INTERSPHINCTERIC RESECTIONS FOR LOW RECTAL CANCER WITH ANORECTAL REGION INVOLVEMENT
title_sort intersphincteric resections for low rectal cancer with anorectal region involvement
topic low rectal cancer involving anorectal region
combined treatment
intersphincteric resections
url https://ok.abvpress.ru/jour/article/view/91
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AT agperevoshchikov intersphinctericresectionsforlowrectalcancerwithanorectalregioninvolvement
AT dvkuzmichev intersphinctericresectionsforlowrectalcancerwithanorectalregioninvolvement
AT vaaliyev intersphinctericresectionsforlowrectalcancerwithanorectalregioninvolvement
AT agmalikhov intersphinctericresectionsforlowrectalcancerwithanorectalregioninvolvement
AT ishtatayev intersphinctericresectionsforlowrectalcancerwithanorectalregioninvolvement
AT ssbalyasnikova intersphinctericresectionsforlowrectalcancerwithanorectalregioninvolvement
AT avpolynovskiy intersphinctericresectionsforlowrectalcancerwithanorectalregioninvolvement