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The sizes of tumoral formations{educations} after циторедуктивной operations essentially influence results of the subsequent therapy and the forecast of the patient. So, average life expectancy of patients with the sizes of residual tumoral units less than 0,5 sm make 40 months, and at the sizes of 18 and 6 months of 0,5-2 and more 2 sm accordingly [2]. For this reason optimum executed циторедуктивной operation considers at what the maximal sizes of the staying tumoral formations{educations} do not exceed 2 see. In some centers under optimum циторедукцией accept the sizes of the staying tumoral formations{educations} less than 1 see. For achievement similar циторедукции the surgeon sometimes should carry out plural resections of a gut, a liver, a spleen, a bladder, a diaphragm, to use ultrasonic аспиратор and laser коагулятор for removal{distance} fine диссеминатов. Clearly, that циторедуктивные operations are considered technically complex{difficult} and demand high qualification of the surgeon specializing in онкогинекологии. Despite of all this, frequency of performance optimum циторедукции in conducting{leading} clinics of the world makes 23-54 %, and only separate authors achieve it at 75-90 % of patients. Подробнее...

Since this message, within 7 years, and also the decision of technical questions of reconstruction a plenty of the works devoted to safety issues of preservation of a leather{skin} during radical мастэктомии, in particular an estimation of probability of development of local relapses was published in these conditions [29-33]. The general{common} conclusion of these works was significant advantage of the received results, in comparison with standard techniques. Подробнее...