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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">10.18027/2224-5057-2018-8-1-31-37</article-id><article-id custom-type="elpub" pub-id-type="custom">tumors-486</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>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL REPORTS</subject></subj-group></article-categories><title-group><article-title>Вопросы качества хирургического лечения при раке яичников</article-title><trans-title-group xml:lang="en"><trans-title>Surgical quality issues in ovarian cancer patients</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Румянцев</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Rumyantsev</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>аспирант, отделене клинической фармакологии и химиотерапии</p></bio><bio xml:lang="en"><p>MD, PhD student, Department of Clinical Pharmacology and Chemotherapy</p></bio><email xlink:type="simple">alexeymma@gmail.com</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>Покатаев</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Pokataev</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к. м. н., с. н. с., отделение клинической фармакологии и химиотерапии</p></bio><bio xml:lang="en"><p>MD, PhD Med, Senior Researcher, Department of Clinical Pharmacology and Chemotherapy</p></bio><email xlink:type="simple">pokia@mail.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>Тюляндина</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Tjulandina</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к. м. н., с. н. с. отделения клинической фармакологии и химиотерапии</p></bio><bio xml:lang="en"><p>MD, PhD Med, Senior Researcher, Department of Clinical Pharmacology and Chemotherapy</p></bio><email xlink:type="simple">atjulandina@gmail.com</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>Тюляндин</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tjulandin</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д. м. н., профессор, зав. отделением, отделение клинической фармакологии и химиотерапии</p></bio><bio xml:lang="en"><p>MD, DSc Med, Professor, Head of the Department of Clinical Pharmacology and Chemotherapy</p></bio><email xlink:type="simple">stjulandin@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ онкологии им. Н. Н. Блохина» Министерства здравоохранения РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N. N. Blokhin Russian Cancer Research Center</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>09</day><month>05</month><year>2018</year></pub-date><volume>8</volume><issue>1</issue><fpage>31</fpage><lpage>37</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Румянцев А.А., Покатаев И.А., Тюляндина А.С., Тюляндин С.А., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Румянцев А.А., Покатаев И.А., Тюляндина А.С., Тюляндин С.А.</copyright-holder><copyright-holder xml:lang="en">Rumyantsev A.A., Pokataev I.A., Tjulandina A.S., Tjulandin S.A.</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/486">https://www.malignanttumors.org/jour/article/view/486</self-uri><abstract><p>Отдаленные результаты лечения рака яичников напрямую зависят от размеров остаточной опухоли после хирургического лечения. Так как в опухолевый процесс могут вовлекаться различные органы брюшной полости, зачастую возникает необходимость в выполнении мультиорганных резекций, однако они выполняются далеко не во всех случаях, что служит причиной большого количества неоптимальных циторедуктивных операций. В связи с этим в настоящее время привлекается все большее внимание к проблеме качества хирургического лечения при раке яичников. Данная статья посвящена обзору способов улучшения хирургического лечения при раке яичников, включая последние зарубежные и отечественные инициативы в данной области.</p></abstract><trans-abstract xml:lang="en"><p>There is a major influence of residual tumor on long term survival in advanced ovarian cancer patients. Tumor can directly involve various organs of abdominal cavity. Complex surgical procedures and multiple resections may be necessary in order to achieve complete debulking. However, its rate remains low and sub-optimal debulking is common. Currently, quality of surgical treatment in ovarian cancer is an emerging medical problem. This article is dedicated to review of various approaches to improve quality of care in advanced ovarian cancer including recent local and international initiatives in this field.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рак яичников</kwd><kwd>полная циторедукция</kwd><kwd>оптимальная циторедукция</kwd><kwd>качество хирургического лечения</kwd><kwd>улучшение качества</kwd></kwd-group><kwd-group xml:lang="en"><kwd>ovarian cancer</kwd><kwd>complete debulking</kwd><kwd>optimal debulking</kwd><kwd>quality of surgegy</kwd><kwd>quality improvement</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">NCCN Clinical Practice Guidelines in Oncology. Ovarian Cancer, Including Fallopian Tube Cancer and Primary Peritoneal Cancer. 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