ArticleSurgery today2018
Pelvic inlet shape measured by three-dimensional pelvimetry is a predictor of the operative time in the anterior resection of rectal cancer.
Article in Surgery today, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Article
- Phase-specific impact of patient anatomy on rectal cancer surgery: robotic assistance neutralizes dissection difficulty.Journal of robotic surgery · 2026Article
- Article
- Predictive model of the surgical difficulty of robot-assisted total mesorectal excision for rectal cancer: a multicenter, retrospective study.Journal of robotic surgery · 2024Article
- Construction of a nomogram model to predict technical difficulty in performing laparoscopic sphincter-preserving radical resection for rectal cancer.World journal of gastroenterology · 2024Article
- Sexual dimorphism of the human fetal pelvis exists at the onset of primary ossification.Communications biology · 2024Article
- Study on sex differences and potential clinical value of three-dimensional computerized tomography pelvimetry in rectal cancer patients.World journal of gastrointestinal oncology · 2024Article
- Interpretable machine learning model to predict surgical difficulty in laparoscopic resection for rectal cancer.Frontiers in oncology · 2024Review
- Establishment of Surgical Difficulty Grading System and Application of MRI-Based Artificial Intelligence to Stratify Difficulty in Laparoscopic Rectal Surgery.Bioengineering (Basel, Switzerland) · 2023Article
- Advances in pelvic imaging parameters predicting surgical difficulty in rectal cancer.World journal of surgical oncology · 2023Review
- Article
- An MRI-based pelvimetry nomogram for predicting surgical difficulty of transabdominal resection in patients with middle and low rectal cancer.Frontiers in oncology · 2022Article
- Impact of pelvic dimensions on anastomotic leak after anterior resection for patients with rectal cancer.Surgical endoscopy · 2021Article
- Sacrococcygeal dimensions and curvature are associated with resection quality in rectal cancer excision.Techniques in coloproctology · 2020Article
- Pelvic dimension as a predictor of ureteral injury in gynecological cancer surgeries.Surgical endoscopy · 2020Article
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Authors and funding
8 authors.
Funding
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Abstract
purposeWe evaluated pelvic shape as a predictor of the surgical outcome of anterior resection in patients with rectal cancer.
methodsIn total, 228 patients who had undergone anterior resection (R0 resection and double-stapling anastomosis) for rectal cancer from 2005 to 2014 were included in this study. The anteroposterior (AP) and transverse (T) diameters of the pelvic inlet and outlet and pelvic depth were analyzed on three-dimensional volume-rendered images, and the AP/T ratio was calculated. Univariate and multivariate analyses were performed to determine the predictive significance of the operative time and intraoperative blood loss as surgical outcomes.
resultsNo difference was observed between the inlet AP/T and patient sex ratios, but the other pelvic dimensions were significantly shorter in males than in females. The univariate analysis revealed that the operative time was significantly correlated with the inlet T diameter and that it tended to be correlated with the outlet T diameter and the inlet AP/T ratio. A multivariate analysis adjusted for operation-related factors revealed that the inlet AP/T ratio was the only independent risk factor for an extended operative time (p = 0.036). None of the pelvic dimensions were independent risk factors for increased blood loss.
conclusionThe shape of the pelvic inlet may be useful for predicting the operative time.
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