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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">tumors</journal-id><journal-title-group><journal-title xml:lang="ru">Malignant tumours</journal-title><trans-title-group xml:lang="en"><trans-title>Malignant tumours</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2224-5057</issn><issn pub-type="epub">2587-6813</issn><publisher><publisher-name>Rosoncoweb</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18027/2224-5057-2025-058</article-id><article-id custom-type="elpub" pub-id-type="custom">tumors-1598</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>КОНСЕНСУС</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CONSENSUS</subject></subj-group></article-categories><title-group><article-title>Российский консенсус по профилактике, диагностике и лечению рака желудка. Вопросы хирургического лечения</article-title><trans-title-group xml:lang="en"><trans-title>Russian consensus on prevention, diagnosis and treatment of gastric cancer. Issues of surgical treatment</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4088-8118</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хатьков</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Khatkov</surname><given-names>I. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хатьков Игорь Евгеньевич </p><p>111123 Москва, Новогиреевская ул., 1, корп. 1</p></bio><bio xml:lang="en"><p>Khatkov Igor Evgenievich </p><p> Build. 1, 1 Novogireevskaya St., Moscow 111123 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9116-9693</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Васнев</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasnev</surname><given-names>O. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Васнев Олег Сергеевич </p><p>111123 Москва, Новогиреевская ул., 1, корп. 1</p></bio><bio xml:lang="en"><p>Vasnev Oleg Sergeevich</p><p> Build. 1, 1 Novogireevskaya St., Moscow 111123 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7254-5411</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Израилов</surname><given-names>Р. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Izrailov</surname><given-names>R. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Израилов Роман Евгеньевич </p><p>111123 Москва, Новогиреевская ул., 1, корп. 1</p></bio><bio xml:lang="en"><p>Izrailov Roman Evgenievich</p><p>Build. 1, 1 Novogireevskaya St., Moscow 111123 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7457-3889</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калинин</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalinin</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Калинин Алексей Евгеньевич </p><p>115478 Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Kalinin Alexey Evgenievich</p><p> 23 Kashirskoe Shosse, Moscow 115478 </p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6641-7229</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Карачун</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Karachun</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Карачун Алексей Михайлович </p><p>197758 Санкт-Петербург, п. Песочный, ул. Ленинградская, 68</p></bio><bio xml:lang="en"><p>Karachun Alexey Mikhailovich</p><p> 68 Leningradskaya St., Pesochnyy, Saint Petersburg 197758 </p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4958-5850</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кащенко</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kashchenko</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кащенко Виктор Анатольевич </p><p>194291 Санкт-Петербург, пр. Культуры, 4</p></bio><bio xml:lang="en"><p>Kashchenko Viktor Anatolyevich </p><p>4 Kultury Pr., Saint Petersburg 194291 </p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4744-6141</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кононец</surname><given-names>П. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kononets</surname><given-names>P. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кононец Павел Вячеславович </p><p>115478 Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p> Kononets Pavel Vyacheslavovich </p><p> 23 Kashirskoe Shosse, Moscow 115478 </p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7281-3591</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лядов</surname><given-names>В. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Lyadov</surname><given-names>V. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лядов Владимир Константинович </p><p>117152 Москва, Загородное шоссе, 18А</p></bio><bio xml:lang="en"><p> Lyadov Vladimir Konstantinovich </p><p>18A Zagorodnoe Shosse, Moscow 117152 </p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8801-4903</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Матвейчук</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Matveychuk</surname><given-names>D. А.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Матвейчук Данила Алексеевич </p><p>111123 Москва, Новогиреевская ул., 1, корп. 1</p></bio><bio xml:lang="en"><p> Matveychuk Danila Alekseevich </p><p> Build. 1, 1 Novogireevskaya St., Moscow 111123 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2647-4362</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Недолужко</surname><given-names>И. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Nedoluzhko</surname><given-names>I. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Недолужко Иван Юрьевич </p><p>111123 Москва, Новогиреевская ул., 1, корп. 1</p></bio><bio xml:lang="en"><p> Nedoluzhko Ivan Yurievich </p><p> Build. 1, 1 Novogireevskaya St., Moscow 111123 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5543-199X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Семенов</surname><given-names>Н. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Semenov</surname><given-names>N. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Семенов Николай Евгеньевич </p><p>111123 Москва, Новогиреевская ул., 1, корп. 1</p></bio><bio xml:lang="en"><p>Semenov Nikolay Evgenievich </p><p>Build. 1, 1 Novogireevskaya St., Moscow 111123 </p></bio><email xlink:type="simple">n.semenov@mknc.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5229-8203</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стилиди</surname><given-names>И. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Stilidi</surname><given-names>I. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Стилиди Иван Сократович </p><p>115478 Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Stilidi Ivan Sokratovich </p><p>23 Kashirskoe Shosse, Moscow 115478 </p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8301-4528</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хомяков</surname><given-names>В. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Khomyakov</surname><given-names>V. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хомяков Владимир Михайлов </p><p>125284 Москва, 2-й Боткинский пр-д, 3</p></bio><bio xml:lang="en"><p> Khomyakov Vladimir Mikhailov </p><p>  2nd Botkinskiy proezd, Moscow 125284 </p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5169-2199</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цвиркун</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsvirkun</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Цвиркун Виктор Викторович </p><p>111123 Москва, Новогиреевская ул., 1, корп. 1</p></bio><bio xml:lang="en"><p>Tsvirkun Viktor Viktorovich </p><p> Build. 1, 1 Novogireevskaya St., Moscow 111123 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0010-5294</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шишин</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shishin</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шишин Кирилл Вячеславович </p><p>111123 Москва, Новогиреевская ул., 1, корп. 1</p></bio><bio xml:lang="en"><p> Kirill Vyacheslavovich Shishin </p><p> Build. 1, 1 Novogireevskaya St., Moscow 111123 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБУЗ г. Москвы «Московский клинический научно-практический центр им. А. С. Логинова Департамента здравоохранения г. Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A. S. Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Научный медицинский исследовательский центр онкологии им. Н. Н. Блохина» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N. N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russi</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н. Н. Петрова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N. N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБУ «Северо-западный окружной научно-клинический центр им. Л. Г. Соколова ФМБА»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>L. G. Sokolov North-Western District Scientific and Clinical Center, Federal Medical and Biological Agency</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Онкологический центр No 1 Городской клинической больницы имени С. С. Юдина Департамента здравоохранения города Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Oncology Center No. 1 of the City Clinical Hospital named after S. S. Yudin of the Moscow Department of Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Московский научно-исследовательский онкологический институт им. П. А. Герцена — филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>P. A. Hertsen Moscow Oncology Research Institute — branch of the National Medical Research Radiological Center, Ministry of Health&#13;
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>03</day><month>02</month><year>2026</year></pub-date><volume>15</volume><issue>4</issue><elocation-id>82–90</elocation-id><permissions><copyright-statement>Copyright &amp;#x00A9; Хатьков И.В., Васнев О.С., Израилов Р.Е., Калинин А.Е., Карачун А.М., Кащенко В.А., Кононец П.В., Лядов В.К., Матвейчук Д.А., Недолужко И.Ю., Семенов Н.Е., Стилиди И.С., Хомяков В.М., Цвиркун В.В., Шишин К.В., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Хатьков И.В., Васнев О.С., Израилов Р.Е., Калинин А.Е., Карачун А.М., Кащенко В.А., Кононец П.В., Лядов В.К., Матвейчук Д.А., Недолужко И.Ю., Семенов Н.Е., Стилиди И.С., Хомяков В.М., Цвиркун В.В., Шишин К.В.</copyright-holder><copyright-holder xml:lang="en">Khatkov I.E., Vasnev O.S., Izrailov R.E., Kalinin A.E., Karachun A.M., Kashchenko V.A., Kononets P.V., Lyadov V.K., Matveychuk D.А., Nedoluzhko I.Y., Semenov N.E., Stilidi I.S., Khomyakov V.M., Tsvirkun V.V., Shishin K.V.</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.malignanttumors.org/jour/article/view/1598">https://www.malignanttumors.org/jour/article/view/1598</self-uri><abstract><p>Российский консенсус по профилактике, диагностике и лечению рака желудка подготовлен по инициативе Московского клинического научного центра им А. С. Логинова ДЗМ по Дельфийской системе. Его целью явилась консолидация мнений отечественных специалистов по наиболее актуальным вопросам профилактики, скрининга, диагностики и лечения рака желудка. Междисциплинарный подход обеспечен участием ведущих гастроэнтерологов, онкологов и хирургов. В данной статье представлены ключевые нерешенные вопросы хирургического лечения рака желудка, а также позиции Российского консенсуса по ним.</p></abstract><trans-abstract xml:lang="en"><p>The Russian consensus on prevention, diagnostic and treatment of gastric cancer was prepared on the initiative of the Moscow clinical scientific center named after A. S. Loginov on the Delphi method. Its aim was to clarify and consolidate the opinions of specialists on the most relevant issues of prevention, diagnosis and treatment of gastric cancer. An interdisciplinary approach was provided by the participation of leading gastroenterologists, oncologists and surgeons.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>консенсус</kwd><kwd>рак желудка</kwd><kwd>хирургическое лечение рака желудка</kwd></kwd-group><kwd-group xml:lang="en"><kwd>consensus</kwd><kwd>gastric cancer surgical treatment</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">Smyth E.C., Verheij M., Allum W., et al; ESMO Guidelines Committee. Gastric cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 2016;27(suppl 5):v38-v49. https://doi.org/10.1093/annonc/mdw350. PMID: 27664260</mixed-citation><mixed-citation xml:lang="en">Smyth E.C., Verheij M., Allum W., et al; ESMO Guidelines Committee. Gastric cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. 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