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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mossj</journal-id><journal-title-group><journal-title xml:lang="ru">Московский хирургический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Moscow Surgical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-3180</issn><publisher><publisher-name>ООО «ПРОФИЛЬ – 2С»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17238/2072-3180-2025-4-158-163</article-id><article-id custom-type="elpub" pub-id-type="custom">mossj-1099</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ СЛУЧАИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASE</subject></subj-group></article-categories><title-group><article-title>Гастропанкреатодуоденальная резекция в лечении рака двенадцатиперстной кишки у пациента, ранее оперированного на органах гепатодуоденальной зоны</article-title><trans-title-group xml:lang="en"><trans-title>Gastropancreatoduodenal resection in the treatment of duodenal cancer in a patient who previously underwent surgery on organs of the hepatoduodenal zone</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8647-1505</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Салимов</surname><given-names>Д. Ш.</given-names></name><name name-style="western" xml:lang="en"><surname>Salimov</surname><given-names>D. Sh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Салимов Дмитрий Шамильевич – доктор медицинских наук, начальник хирургического отделения </p><p>107014, г. Москва, ул. Большая Оленья, вл. 8a.</p></bio><bio xml:lang="en"><p>Salimov Dmitry Shamilevich – Doctor of Medical Sciences, Head of the Surgical Department </p><p>107014 Moscow, Bolshaya Olenya str., 8a.</p></bio><email xlink:type="simple">salimow.dmitry@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алексеев</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Alekseev</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алексеев Валентин Валериевич – кандидат медицинских наук, заместитель главного врача по лечебной работе </p><p>153040 Ивановская область, г. Иваново, ул. Любимова, д. 5</p></bio><bio xml:lang="en"><p>Alekseev Valentin Valerievich – Candidate of Medical Sciences, Deputy Chief Physician for Medical Work </p><p>153040 Ivanovo region, Ivanovo, Lyubimova str., 5</p></bio><email xlink:type="simple">valentindocvma@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-5582-685X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Крайнюков</surname><given-names>Е. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Kraynyukov</surname><given-names>E. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Крайнюков Евгений Павлович – старший ординатор хирургического отделения на 30 коек с палатами для офтальмологических больных </p><p>400010, г. Волгоград пр. им. Маршала Советского Союза Г.К. Жукова, д. 81</p></bio><bio xml:lang="en"><p>Krainukov Evgeny Pavlovich – resident of the surgical department with 30 beds and rooms for ophthalmological patients </p><p>Marshal of the Soviet Union G.K. Zhukov ave., Volgograd, 400010</p></bio><email xlink:type="simple">kharakdoc@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3871-5530</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гительзон</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gitelzon</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гительзон Екатерина Александровна – кандидат медицинских наук, доцент кафедры госпитальной хирургии с курсом детской хирургии медицинского института </p><p>117198, г. Москва, ул. Миклухо-Маклая, д. 8</p></bio><bio xml:lang="en"><p>Gitelzon Ekaterina Aleksandrovna – MD, PhD, associate professor of the Department of the Hospital Surgery with the course of the Pediatric Surgery, Institute of Medicine </p><p>117198, Moscow, Miklukho-Maklaya St., 8</p></bio><email xlink:type="simple">altnlu88@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9114-6683</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Суворов</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Suvorov</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Cуворов Владимир Александрович – кандидат медицинских наук, руководитель отдела торакоабдоминальной онкохирургии </p><p>153040 Ивановская область, г. Иваново, ул. Любимова, д. 5</p></bio><bio xml:lang="en"><p>Suvorov Vladimir Aleksandrovich – Candidate of Medical Sciences, Head of the Department of Thoracoabdominal Oncosurgery </p><p>153040 Ivanovo region, Ivanovo, Lyubimova str., 5</p></bio><email xlink:type="simple">oncologist.suvorov@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7200-2708</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шиляев</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shilyaev</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шиляев Алексей Владимирович – кандидат медицинских наук, заместитель главного врача по хирургии </p><p>153040, Ивановская область, г. Иваново, ул. Любимова, д. 5</p></bio><bio xml:lang="en"><p>Shilyaev Alexey Vladimirovich – Candidate of Medical Sciences, Deputy Chief Physician for Surgery </p><p>153040 Ivanovo region, Ivanovo, Lyubimova str., 5</p></bio><email xlink:type="simple">shilav@rambler.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-3634-3933</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Новрузов</surname><given-names>В. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Novruzov</surname><given-names>V. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новрузов Вугар Рафикович – врач-онколог торакоабдоминатоного отделения отдела торакоабдоминальной онкохирургии </p><p>153040, Ивановская область, г. Иваново, ул. Любимова, д. 5</p></bio><bio xml:lang="en"><p>Novruzov Vugar Rafikovich – oncologist at the thoracoabdominational Department of Thoracoabdominal Oncosurgery </p><p>153040 Ivanovo region, Ivanovo, Lyubimova str., 5</p></bio><email xlink:type="simple">vugarnovruzov@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Центральный военный клинический госпиталь им. П.В. Мандрыка;&#13;
Российский университет дружбы народов</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central Military Clinical Hospital n.a. P.V. Mandrykа;&#13;
Peoples' Friendship University of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ОБУЗ Ивановский областной онкологический диспансер</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ivanovo Regional Oncology Dispensar</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>413 военный госпиталь МО РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Institution 413 EKG of the Ministry of Defense of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Российский университет дружбы народов</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples' Friendship University of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>15</day><month>12</month><year>2025</year></pub-date><volume>0</volume><issue>4</issue><fpage>158</fpage><lpage>163</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Салимов Д.Ш., Алексеев В.В., Крайнюков Е.П., Гительзон Е.А., Суворов В.А., Шиляев А.В., Новрузов В.Р., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Салимов Д.Ш., Алексеев В.В., Крайнюков Е.П., Гительзон Е.А., Суворов В.А., Шиляев А.В., Новрузов В.Р.</copyright-holder><copyright-holder xml:lang="en">Salimov D.S., Alekseev V.V., Kraynyukov E.P., Gitelzon E.A., Suvorov V.A., Shilyaev A.V., Novruzov V.R.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.mossj.ru/jour/article/view/1099">https://www.mossj.ru/jour/article/view/1099</self-uri><abstract><p>Рак двенадцатиперстной кишки является редким онкологическим заболеванием, представляющим значительные трудности в диагностике и лечении. В данной статье представлено клиническое наблюдение 35-летнего мужчины, страдающего злокачественным заболеванием двенадцатиперстной кишки. Пациенту проведены лечебно-диагностические мероприятия. Диагностика включала эндоскопические, рентгенологические и гистологические методы, которые подтвердили наличие высокодифференцированной аденокарциномы двенадцатиперстной кишки с инфильтрацией в головку поджелудочной железы и общий желчный проток. Пациенту выполнена расширенная гастропанкреатодуоденальная резекция с лимфодиссекцией. Гистологическое исследование показало отсутствие лимфоваскулярной инвазии и метастазов в 30 исследованных лимфатических узлах. Послеоперационный период протекал без осложнений. Данных за рецидив заболевания в течение 5 лет наблюдения не получено.</p></abstract><trans-abstract xml:lang="en"><p>Duodenal cancer is a rare oncological disease that presents significant difficulties in diagnosis and treatment. This article presents a clinical observation of a 35-year-old man who had previously undergone surgery for a chronic disease of the hepatoduodenal zone. The diagnosis included endoscopic, radiological, and histological methods, which confirmed the presence of a highly differentiated adenocarcinoma of the duodenum with infiltration into the head of the pancreas and the common bile duct. The patient underwent an extended gastropancreatoduodenal resection with lymph node dissection. A histological examination showed no lymphovascular invasion or metastases in the 30 lymph nodes examined. The postoperative period was uncomplicated. No recurrence of the disease was observed during a 5-year follow-up period.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рак двенадцатиперстной кишки</kwd><kwd>аденокарцинома</kwd><kwd>хирургическое лечение</kwd><kwd>клинический случай гастропанкреатодуоденальная резекция</kwd><kwd>повторные операции</kwd></kwd-group><kwd-group xml:lang="en"><kwd>duodenal cancer</kwd><kwd>adenocarcinoma</kwd><kwd>surgical treatment</kwd><kwd>case report gastropancreatoduodenal resection</kwd><kwd>repeated surgeries</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Кригер А.Г., Горин Д.С., Пантелеев В.И., Калдаров А.Р. Диагностика и хирургическое лечение опухолей двенадцатиперстной кишки. Хирургия. Журнал им. Н.И. Пирогова, 2019. № 1, С. 5–13.</mixed-citation><mixed-citation xml:lang="en">Krieger A.G., Gorin D.S., Panteleev V.I., Kaldarov A.R. 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