Bone and soft tissue sarcomas, tumors of the skinBone and soft tissue sarcomas, tumors of the skinСаркомы костей, мягких тканей и опухоли кожи2219-46142782-3687Publishing House ABV Press210ArticlesСтатьиSurgical approach in the treatment of sarcoma lung metastasisВЫБОР ХИРУРГИЧЕСКОГО ДОСТУПА В ЛЕЧЕНИИ ЛЕГОЧНЫХ МЕТАСТАЗОВ САРКОМAllakhverdievA. K.АллахвердиевА. К.
Russian Federation
a_arif@rambler.ruLaktionovK. K.ЛактионовК. К.
Russian Federation
DavydovM. M.ДавыдовМ. М.
Russian Federation
AkhmedovB. B.АхмедовБ. Б.
Russian Federation
PolotskyB. E.ПолоцкийБ. Е.
Russian Federation
DavydovM. I.ДавыдовМ. И.
Russian Federation
N.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical SciencesРоссийский онкологический научный центр им. Н.Н. Блохина РАМН1104201132353911012022Copyright ©; 2011, Allakhverdiev A.K., Laktionov K.K., Davydov M.M., Akhmedov B.B., Polotsky B.E., Davydov M.I.Copyright ©; 2011, Аллахвердиев А.К., Лактионов К.К., Давыдов М.М., Ахмедов Б.Б., Полоцкий Б.Е., Давыдов М.И.2011Allakhverdiev A.K., Laktionov K.K., Davydov M.M., Akhmedov B.B., Polotsky B.E., Davydov M.I.Аллахвердиев А.К., Лактионов К.К., Давыдов М.М., Ахмедов Б.Б., Полоцкий Б.Е., Давыдов М.И.https://creativecommons.org/licenses/by/4.0https://sarbon.abvpress.ru/jour/article/view/210

This is a review and discussion of possibilities and indications of VATS metastasectomy in the treatment of soft tissue and bone sarcomas. Thoracotomy is still a standard approach for the patients with sarcoma lung metastasis. Our point shifted forward and thoracoscopic resection should be a method of choice for the treatment of sarcoma solitary lesions. Miniinvasive technic leads to less complications, less admission time and faster rehabilitation time. Thoracoscopic resections decreases future thoracotomy trauma and give the possibilities for faster further conservative treatment.

В данной статье представлен обзор литературы и обсуждение показаний к выполнению торакоскопической мета-стазэктомии в комплексном лечении сарком костей и мягких тканей. Открытая торакотомия остается стандартом в хирургическом лечении больных с легочными метастазами сарком. на наш взгляд, при солитарных метастазах торакоскопическая резекция легкого может являться методом выбора. малоинвазивная методика оперирования сопровождается меньшим числом осложнений, более коротким пребыванием пациента в стационаре и способствует быстрейшей социальной реабилитации пациента. торакоскопические вмешательства уменьшают травматичность последующей открытой операции и дают возможность для более раннего начала проведения консервативного лечения в сравнении с открытыми операциями.

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