ArticleSurgical endoscopy2019
Mesorectal fat area as a useful predictor of the difficulty of robotic-assisted laparoscopic total mesorectal excision for rectal cancer.
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 3 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A systematic review and meta-analysis of preoperative MRI-based pelvimetry in predicting surgical difficulty in rectal cancer: Implications for personalised surgical planning.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Pooled it
- The effect of excess body weight on short-term outcomes following minimally invasive rectal cancer surgery: a systematic review and meta-analysis.Techniques in coloproctology · 2026Pooled it
- The role of MRI pelvimetry in predicting technical difficulty and outcomes of open and minimally invasive total mesorectal excision: a systematic review.Techniques in coloproctology · 2020Pooled it
- Predicting anatomical difficulty in robot-assisted rectal resection using a novel anatomic landmark-based grading system: a prospective observational study.Techniques in coloproctology · 2026Observational
- Deep Learning-Based Prediction System for Surgical Difficulty in Rectal Cancer Patients Using MRI Pelvimetry.Yonsei medical journal · 2026Article
- Development and validation of a multiparametric magnetic resonance imaging-based nomogram for predicting feasibility of sphincter-preserving surgery in mid-low rectal cancer.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2026Article
- A Prospective European Trial Comparing Laparotomy, Laparoscopy, Robotic-assisted, and Transanal Total Mesorectal Excision Procedures in High-risk Patients With Rectal Cancer: The RESET Trial.Annals of surgery · 2026Observational
- Article
- Phase-specific impact of patient anatomy on rectal cancer surgery: robotic assistance neutralizes dissection difficulty.Journal of robotic surgery · 2026Article
- Local fat, local risk: mesorectal fat volume outperforms BMI in predicting rectal cancer surgery outcomes.Frontiers in nutrition · 2026Article
- Development of a predictive score for prolonged pelvic operation time in robot-assisted low anterior resection: a single-center, retrospective study in Japan.Surgical endoscopy · 2025Article
- Influence of computed tomography-based pelvimetric parameters and surgical approaches on surgical difficulty in mid‑low rectal cancer.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025Article
- Predictors of difficulty in robotic splenic flexure mobilization during rectal cancer surgery.International journal of colorectal disease · 2025Article
- Role of pelvimetry in predicting surgical outcomes and morbidity in rectal cancer surgery: A retrospective analysis.World journal of gastrointestinal surgery · 2025Article
- Prescribing preoperative weight loss prior to major non-bariatric surgery for patients with elevated weight: a national provider survey (PREPARE provider survey).Frontiers in surgery · 2025Article
- Predictive model of the surgical difficulty of robot-assisted total mesorectal excision for rectal cancer: a multicenter, retrospective study.Journal of robotic surgery · 2024Article
- [Germany's first robot-assisted kidney transplantation from a deceased donor: a good option in obese recipients-with the right team].Urologie (Heidelberg, Germany) · 2024Article
- Simple pelvimetry predicts the pelvic manipulation time in robot-assisted low and ultra-low anterior resection for rectal cancer.Surgery today · 2024Article
- Deep pelvis and low visceral fat mass as risk factors for neurogenic bladder after rectal cancer surgery.BMC gastroenterology · 2024Article
- LASSO-based nomogram predicts the risk factors of low anterior resection syndrome for middle and low rectal cancer underwent robotic surgery.Surgical endoscopy · 2024Article
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11 authors.
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Abstract
backgroundVarious predictors of the difficulty of total mesorectal excision for rectal cancer have been described. Although a bulky mesorectum was considered to pose technical difficulties in total mesorectal excision, no studies have evaluated the influence of mesorectum morphology on the difficulty of total mesorectal excision. Mesorectal fat area at the level of the tip of the ischial spines on magnetic resonance imaging was described as a parameter characterizing mesorectum morphology. This study aimed to evaluate the influence of clinical and anatomical factors, including mesorectal fat area, on the difficulty of total mesorectal excision for rectal cancer.
methodsThis study enrolled 98 patients who underwent robotic-assisted laparoscopic low anterior resection with total mesorectal excision for primary rectal cancer, performed by a single expert surgeon, between 2010 and 2015. Magnetic resonance imaging-based pelvimetry data were collected. Linear regression was performed to determine clinical and anatomical factors significantly associated with operative time of the pelvic phase, which was defined as the time interval from the start of rectal mobilization to the division of the rectum.
resultsThe median operative time of the pelvic phase was 68 min (range 33-178 min). On univariate analysis, the following variables were significantly associated with longer operative time of the pelvic phase: male sex, larger tumor size, larger visceral fat area, larger mesorectal fat area, shorter pelvic outlet length, longer sacral length, shorter interspinous distance, larger pelvic inlet angle, and smaller angle between the lines connecting the coccyx to S3 and to the inferior middle aspect of the pubic symphysis. On multiple linear regression analysis, only larger mesorectal fat area remained significantly associated with longer operative time of the pelvic phase (p = 0.009).
conclusionsMesorectal fat area may serve as a useful predictor of the difficulty of total mesorectal excision for rectal cancer.
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