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Современные тенденции в хирургии печени (обзор литературы)

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Хирургия печени на протяжении всей своей истории постоянно претерпевает значительные изменения и во многом зависит от научных и технологических достижений. В настоящее время резекция печени позволяет надеяться на излечение пациента. Реализуются такие новые тенденции в хирургии печени, как сберегающие паренхиму операции, доведение до минимума отступа от опухоли, скелетизация сосудов. Внедряют принцип резекции вдоль печеночных вен с максимальной детализацией ориентиров. Это позволяет хирургам расширять свои возможности, охватывая новые когорты пациентов с множественными опухолями, ранее считавшимися нерезектабельными. Происходит улучшение непосредственных результатов без негативного влияния на отдаленные результаты операций.

Ключевые слова:
печень, колоректальный рак, метастазы, паренхимосберегающая резекция, туннелизация печени, liver, colorectal carcinoma, metastases, parenchyma-sparing resection, liver tunneling

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Current trends in liver surgery (literature review)

Liver surgery constantly undergoes significant changes and is greatly influenced by scientific and technological developments. At present, liver resection gives hope for the patient''s recovery. New tendencies in liver surgery include parenchyma-sparing surgery, minimization of resection margin, skeletonization of blood vessels. The principle of resection along the hepatic veins with specifically detailed landmarks is currently being introduced. This allows surgeons to expand their capabilities by covering new cohorts of patients with multiple tumors, previously considered unresectable. Immediate results are improving without a negative impact on long-term surgical outcomes.

Keywords:
печень, колоректальный рак, метастазы, паренхимосберегающая резекция, туннелизация печени, liver, colorectal carcinoma, metastases, parenchyma-sparing resection, liver tunneling