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_4_123pirogovestnik-485Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSМИКРОВОЛНОВАЯ АБЛЯЦИЯ, КАК МЕТОД ЛЕЧЕНИЯ ОЧАГОВЫХ ОБРАЗОВАНИЙ ПЕЧЕНИMICROWAVE ABLATION AS A MODERN METHOD OF TREATMENT OF FOCALLIVER FORMATIONSЗинкевичД. А.ZinkevichD. A.

Санкт-Петербург

Saint Petersburg 

xeryrgoid@mail.ruШосткаК. Г.ShostkaK. G.

Санкт-Петербург

Saint Petersburg

БелоусовА. М.BelousovA. M.

Санкт-Петербург

 Saint Petersburg 

МулендеевС. В.MulendeevS. V.

Санкт-Петербург 

 Saint Petersburg 

СизоненкоН. А.SizonenkoN. A.

Санкт-Петербург 

 Saint Petersburg 

КошелевТ. Е.KoshelevT. E.

Санкт-Петербург 

Saint Petersburg

ФГБОУ ВО «Санкт-Петербургский государственный университет»РоссияSaint Petersburg State UniversityRussian FederationФГБОУ ВО «Санкт-Петербургский государственный университет»; ФГБВОУ ВО «Военно-медицинская академия им. С.М. Кирова»РоссияSaint Petersburg State University; S.M. Kirov Military Medical AcademyRussian FederationФГБВОУ ВО «Военно-медицинская академия им. С.М. Кирова»РоссияS.M. Kirov Military Medical AcademyRussian FederationФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова»РоссияNorth-Western State Medical University named after I.I. MechnikovRussian Federation202505122025204123128Copyright © Зинкевич Д.А., Шостка К.Г., Белоусов А.М., Мулендеев С.В., Сизоненко Н.А., Кошелев Т.Е., 20252025Зинкевич Д.А., Шостка К.Г., Белоусов А.М., Мулендеев С.В., Сизоненко Н.А., Кошелев Т.Е.Zinkevich D.A., Shostka K.G., Belousov A.M., Mulendeev S.V., Sizonenko N.A., Koshelev T.E.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/485

Изучены статьи, опубликованные за период с 2011 по 2025 гг., в которых рассматривались технические аспекты, непосредственные и отдаленные результаты применения микроволновой абляции (МВА) с целью деструкции первичных и вторичных злокачественных опухолей печени, сравнительная оценка различных методик термодеструкции. В ходе ознакомления с результатами исследований установлено, что применение МВА для деструкции вторичных опухолей печени позволяет достигать схожих результатов лечения с хирургическими вмешательствами и расширяет возможности радикального хирургического лечения у соматически отягощённых пациентов.

This review examines thematic articles published from 2011 to 2025, which examined technical aspects, immediate and long-term results of using microwave ablation for the destruction of primary and secondary malignant liver tumors, and a comparative assessment of various thermal degradation techniques. In the course of reviewing the research results, it was found that the use of microwave ablation (MVA) for the destruction of secondary liver tumors allows achieving similar treatment results with surgical interventions and expands the possibilities of radical surgical treatment in somatically burdened patients.

первичные и вторичные опухоли печенимикроволновая абляциярадиочастотная абляцияхирургическое лечениерезекция печениprimary and secondary liver tumorsmicrowave ablationradiofrequency ablationsurgical treatmentliver resectionReferencesЗлокачественные новообразования в России в 2023 году (заболеваемость и смертность) / Под ред. А.Д. Каприна и др. – М.: МНИОИ им. П.А. Герцена – филиал ФГБУ «НМИЦ радиологии» Минздрава России, 2024. – 276 с.Malignant neoplasms in Russia in 2023 (morbidity and mortality). A.D. Kaprin, et al, editors. Moscow: P.A. Herzen Moscow Institute of Medical Sciences – branch of the Federal State Budgetary Institution «NMITS of Radiology» of the Ministry of Health of Russia, 2024. 276 p. (In Russ.)Чекмазов И.А., Иваников И.О., Сапронов Г.В., Кириллова Н.Ч., Виноградова Н.Н. 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The authors declare that there are no conflicts of interest present.