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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">spractice</journal-id><journal-title-group><journal-title xml:lang="ru">Хирургическая практика</journal-title><trans-title-group xml:lang="en"><trans-title>Surgical practice (Russia)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2223-2427</issn><publisher><publisher-name>АНО "Консорциум "Медицинская техника"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.38181/2223-2427-2023-2-7</article-id><article-id custom-type="elpub" pub-id-type="custom">spractice-404</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>ОНКОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ONCOLOGY</subject></subj-group></article-categories><title-group><article-title>Современное состояние проблемы хирургического лечения злокачественных опухолей печени. Обзор</article-title><trans-title-group xml:lang="en"><trans-title>Recent advances in the surgical treatment of malignant liver tumours: a review</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8230-6676</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пельц</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Pelts</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Владислав Александрович Пельц, кандидат медицинских наук, заведующий Кузбасским областным гепатологическим центром</p><p>650056, Кемерово, ул. Ворошилова, 1в</p><p>650000, Кемерово, ул. Островского, 22</p></bio><bio xml:lang="en"><p>Vladislav A. Pelts, Head of the Kuzbass Regional Hepatological Centre</p><p>1b Voroshilova St, Kemerovo, 650056</p><p>22 Ostrovskogo St, Kemerovo, 650000</p></bio><email xlink:type="simple">vpel_C@rambler.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/0000-0001-9439-2049</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Павленко</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pavlenko</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Владимир Вячеславович Павленко, доктор медицинских наук, профессор, заведующий кафедрой госпитальной хирургии</p><p>650056, Кемерово, ул. Ворошилова, 1в</p></bio><bio xml:lang="en"><p>Prof. Vladimir V. Pavlenko, Head of the Department of Hospital Surgery</p><p>1b Voroshilova St, Kemerovo, 650056</p></bio><email xlink:type="simple">pavlenkovv@list.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/0000-0002-1103-7162</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тропин</surname><given-names>В. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Tropin</surname><given-names>V. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Валентин Евгеньевич Тропин, врач-хирург, Кузбасский областной гепатологический центр</p><p>650000, Кемерово, ул. Островского, 22</p></bio><bio xml:lang="en"><p>Valentin E. Tropin, Surgeon, Kuzbass Regional Hepatological Centre</p><p>22 Ostrovskogo St, Kemerovo, 650000</p></bio><email xlink:type="simple">tropinvalentin19rus@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/0000-0001-7617-6422</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Краснов</surname><given-names>А. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Krasnov</surname><given-names>A. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Аркадий Олегович Краснов, кандидат медицинских наук, врач-хирург</p><p>650000, Кемерово, ул. Островского, 22</p></bio><bio xml:lang="en"><p>Arkady O. Krasnov, Surgeon</p><p>22 Ostrovskogo St, Kemerovo, 650000</p></bio><email xlink:type="simple">aokrasnov@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рудаева</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Rudaeva</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>650056, Кемерово, ул. Ворошилова, 1в</p></bio><bio xml:lang="en"><p>1b Voroshilova St, Kemerovo, 650056</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Кемеровский государственный медицинский университет; Кузбасская клиническая больница скорой&#13;
медицинской помощи имени М. А. Подгорбунского</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kemerovo State Medical University; M. A. Podgorbunsky Clinical Emergency Hospital in Kuzbass</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Кемеровский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kemerovo State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Кузбасская клиническая больница скорой&#13;
медицинской помощи имени М. А. Подгорбунского</institution><country>Россия</country></aff><aff xml:lang="en"><institution>M. A. Podgorbunsky Clinical Emergency Hospital in Kuzbass</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>02</day><month>08</month><year>2023</year></pub-date><volume>0</volume><issue>2</issue><fpage>89</fpage><lpage>100</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Пельц В.А., Павленко В.В., Тропин В.Е., Краснов А.О., Рудаева Е.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Пельц В.А., Павленко В.В., Тропин В.Е., Краснов А.О., Рудаева Е.В.</copyright-holder><copyright-holder xml:lang="en">Pelts V.A., Pavlenko V.V., Tropin V.E., Krasnov A.O., Rudaeva E.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.spractice.ru/jour/article/view/404">https://www.spractice.ru/jour/article/view/404</self-uri><abstract><p>Перечислены актуальные представления о нерешенных проблемах и путях улучшения результатов хирургического лечения первичного и метастатического рака печени. Развитие печеночной хирургии на современном этапе требует разработки ориентированной на пациента рациональной хирургической тактики и использования пациенториентированных методов диагностики и хирургического лечения злокачественных опухолей печени с формированием мультидисциплинарных лечебного и диагностического подходов.</p></abstract><trans-abstract xml:lang="en"><p>This article reviews unresolved problems in the surgical treatment of primary and metastatic liver cancer and ways to overcome them. The state of affairs in liver surgery calls for new patient-oriented rational surgical tactics, the use of patient-oriented methods of diagnosis and surgical treatment of malignant liver tumours, as well as multidisciplinary therapeutic and diagnostic approaches.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>гепатоцеллюлярный рак</kwd><kwd>метастатическое поражение печени</kwd><kwd>резекция печени</kwd><kwd>лапароскопическая резекция печени</kwd><kwd>аблация опухоли</kwd><kwd>сосудистая изоляция</kwd><kwd>мультидисциплинарный подход</kwd></kwd-group><kwd-group xml:lang="en"><kwd>hepatocellular cancer</kwd><kwd>metastatic liver lesion</kwd><kwd>liver resection</kwd><kwd>laparoscopic liver resection</kwd><kwd>tumor ablation</kwd><kwd>vascular isolation</kwd><kwd>multidisciplinary approach</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">Ганцев Ш. Х., Ишмуратова Р. 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