УДК 616.351-006.66-089.151

A.M. Karachun1-3, D.V. Samsonov1,2, A.A. Domanskiy1, E.A. Petrova1, S.M. Pazhitnov2

1N.N. Petrov Research Institute of Oncology, St. Petersburg

2S.M. Kirov Military Medical Academy, St. Petersburg

3I.I. Mechnikov North-Western State Medical University, St. Petersburg

Karachun A.M. ― D. Med. Sc., Head of the Surgical Department of Abdominal Oncology N.N. Petrov Research Institute of Oncology, Professor of the Department of Oncology of I.I. Mechnikov North-Western State Medical University, Assistant of the 2 Department (Surgery Postgraduate Education) of S.M. Kirov Military Medical Academy

68 Leningradskaya St., Pesochny settlement, St. Petersburg, Russian Federation, 197758, tel. (812) 439-95-04, e-mail:


Abstract. Achieved in recent decades, advances in preoperative imaging of tumors, formed current diagnostic algorithms have allowed to allocate group of patients with rectal cancer, for which the required level of surgical aggression can be minimal or substantially reduced. This approach has helped to provide a better quality of life for patients, speed up the process of post-operative rehabilitation, reduce the risk of surgical complications without compromising long-term results of treatment. Spectrum introduced minimally invasive technology continues to expand. Significant spread today received endoluminal endoscopic procedures, laparoscopic and robot-assisted surgery. The high cost of equipment and the need for additional training of personnel are factors that limit the use of new techniques. In addition, the results of minimally invasive interventions require further study to clarify their place in the structure of modern surgical treatment of rectal cancer.

Key words: rectal cancer, minimally invasive surgical techniques, endoscopic dissection, transanal endoscopic microsurgery, laparoscopic surgery, robot-assisted surgery.