pirogovestnikВестник Национального медико-хирургического центра им. Н.И. ПироговаBulletin of Pirogov National Medical & Surgical Center2072-82552782-3628Национальный медико-хирургический Центр им. Н.И. Пирогова10.25881/20728255_2025_20_2_95pirogovestnik-324Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSОЦЕНКА ФАКТОРОВ РИСКА ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ КОЛОРЕКТАЛЬНОГО РАКА У ПАЦИЕНТОВ С КОМОРБИДНЫМИ ЗАБОЛЕВАНИЯМИASSESSMENT OF RISK FACTORS IN SURGICAL TREATMENT OF COLORECTAL CANCER IN PATIENTS WITH COMORBID DISEASESМаксименковА. В.MaksimenkovA. V.

Москва

Moscow

ВиноградовА. В.VinogradovA. V.

Москва

Moscow

andrew.vinogradov@bk.ruТрошинаА. А.TroshinaA. A.

Москва

Moscow

ФГБУ «Национальный медико-хирургический Центр имени Н.И. Пирогова»РоссияPirogov National Medical and Surgical CenterRussian Federation20251305202520295100Copyright © Максименков А.В., Виноградов А.В., Трошина А.А., 20252025Максименков А.В., Виноградов А.В., Трошина А.А.Maksimenkov A.V., Vinogradov A.V., Troshina A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://submit.pirogov-vestnik.ru/jour/article/view/324

олоректальный рак (КРР) является четвертым по частоте заболеваемости и третьим по частоте смертности от онкологических заболеваний в мире. Его частота заболеваемости КРР увеличивается с возрастом. По данным литературы коморбидность увеличивает риск осложнений хирургического лечения КРР (так, по некоторым данным частота несостоятельности анастомоза у больных с коморбидными заболеваниями увеличивается на 82%, а также отмечается увеличение 30-дневной послеоперационной летальности в первые 30 суток до 6,0%). В связи с этим необходимо вырабатывать определенные подходы (всестороннее обследование больных на дооперационном этапе, решение вопроса о формировании первичного анастомоза и превентивной кишечной стомы) к профилактике послеоперационных осложнений у данной группы пациентов.

 Colorectal cancer (CRC) is the fourth most common cancer in the world and the third most common cause of death from cancer. The incidence of CRC increases with age. According to available literature data, comorbidity increases the risk of complications in surgical treatment of CRC (for example, according to some data, the incidence of anastomotic leakage in patients with comorbid diseases increases by 82%, and there is also an increase in 30-day postoperative mortality in the first 30 days to 6.0%). In this regard, it is necessary to develop certain approaches (comprehensive examination of patients at the preoperative stage, decision on the formation of a primary anastomosis and preventive intestinal stoma) to the prevention of postoperative complications in this group of patients.

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