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THE TECHNIQUE OF SIMULTANEOUS TRACHEOSTOMY, EMBOLIZATION OF THE SOURCE OF A DECAYING TUMOR AND GASTROSTOMY. CLINICAL OBSERVATION OF THE PATIENT

Zagorulko Alexey I.  (MD, PhD, Head of the Department of X-ray Surgical Diagnostic and Treatment Methods No. 2 of the Branch of the Oncology Center No. 1 of the S. S. Yudin City Clinical Hospital of the Healthcare Department of Moscow, physician in X-ray endovascular diagnostics and treatment, cardiovascular surgeon. Department of Cardiology, X-ray Endovascular and Hybrid Diagnostic and Treatment Methods of the Patrice Lumumba Peoples' Friendship University of Russia, Moscow, Russia)

Nistratov Grigory P.  (PhD, MD, physician in X-ray endovascular diagnostics and treatment, Department of X-ray surgical diagnostics and treatment methods No. 2, Moscow, Russia)

Golubcov Andrey K.  (Doctor of Medical Sciences, Professor, Oncologist, Federal State Budgetary Scientific Institution “Russian Scientific Center of Surgery named after Academician B.V. Petrovsky”, Moscow, Russia)

Koledinskiy Anton G.  (Doctor of Medical Sciences, Head at the Department of Cardiology, endovascular surgery and hybrid methods of diagnosis and treatment at the medical institute of the RUDN University, endovascular surgery, Moscow, Russia)

Rykov Stanislav P.  (doctor at the Department of X-ray Endovascular Methods of Diagnosis and Treatment No. 2, Moscow, Russia.)

Mytasov Anton G.  (Oncologist, Federal State Budgetary Scientific Institution “Russian Scientific Center of Surgery named after Academician B.V. Petrovsky”, Moscow, Russia.)

Volkov Denis G.  (Oncologist, Federal State Budgetary Scientific Institution “Russian Scientific Center of Surgery named after Academician B.V. Petrovsky”, Moscow, Russia)

In 2022, the volume of newly diagnosed malignant neoplasms in Russia increased by 7.6% compared to 2021.[5] At the same time, the incidence of malignant neoplasms of the head and neck was 11.8 per 100,000 population [5]. Cancer-related deaths increased in 2022 compared to 2021 and amounted to 14.6% and 11.4%, respectively (Karpin, p. 154). The trend of late-stage cancer detection has remained unchanged for many years. Advanced oncological diseases of the head and neck occupy a special place, since these patients have a high risk of developing complications such as bleeding from tumor tissue, despite the fact that chemotherapy and radiotherapy can also provoke it. [7, 8, 9, 12, 13, 14]. Some authors indicate a 7.6-fold risk of bleeding after chemotherapy and radiotherapy [11]. The frequency of bleeding reaches 10-14% [6, 10, 13]. The use of preventive endovascular embolization of tumor vessels reduces the proportion of blood loss during surgery, and performing the procedure at the time of bleeding has a good hemostatic effect [1-4]. This problem requires the development of new approaches to the treatment of such patients.

Keywords:X-ray endovascular surgery, oncology, arteries (branches) of the external carotid artery, tumors of the oropharyngeal zone, intraarterial embolization.

 

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Citation link:
Zagorulko A. I., Nistratov G. P., Golubcov A. K., Koledinskiy A. G., Rykov S. P., Mytasov A. G., Volkov D. G. THE TECHNIQUE OF SIMULTANEOUS TRACHEOSTOMY, EMBOLIZATION OF THE SOURCE OF A DECAYING TUMOR AND GASTROSTOMY. CLINICAL OBSERVATION OF THE PATIENT // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2025. -№04. -С. 198-202 DOI 10.37882/2223-2966.2025.04.16
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