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Erschienen in: European Surgery 6/2015

01.12.2015 | Original Article

Factors affecting the difficulty of laparoscopic total mesorectal excision for mid- to lower rectal cancer

verfasst von: MD,PhD,FACS W.-S. Lee, MD S. W. Park, MD, PhD J.-H. Baek

Erschienen in: European Surgery | Ausgabe 6/2015

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Summary

Background

The purpose of this study was to evaluate the predictive value of clinical and anatomical features on magnetic resonance imaging (MRI) that can affect pelvic dissection time for treating mid- to lower rectal cancer.

Methods

A total of 90 consecutive male patients who underwent total mesorectal excision for mid- to lower rectal cancer were retrospectively assessed. MRI pelvimetry data were analyzed to identify anatomical features that could affect pelvic dissection time.

Results

Univariate analysis indicated that tumor distance from the anal verge (p = 0.001), preoperative chemoradiotherapy (p  = 0.002), and interspinous distance (p = 0.002) were significantly associated with pelvic dissection time.

Conclusion

Patients with a short interspinous distance may require a longer pelvic dissection time for treating rectal cancer by resection.
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Metadaten
Titel
Factors affecting the difficulty of laparoscopic total mesorectal excision for mid- to lower rectal cancer
verfasst von
MD,PhD,FACS W.-S. Lee
MD S. W. Park
MD, PhD J.-H. Baek
Publikationsdatum
01.12.2015
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 6/2015
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-015-0354-4