Evidence map›Paper›PMID 31595400›Full record

ArticleSurgical endoscopy2020

Pelvic dimension as a predictor of ureteral injury in gynecological cancer surgeries.

Hui Ye, Di You, Lin Li, Hanyu Cao, Deyi Luo, Hong Shen, Huizhu Chen, Mingrong Xi

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Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Hui YeDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Number 20, Third Section of People's South Road, Chengdu, 610000, China.
Di YouDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Number 20, Third Section of People's South Road, Chengdu, 610000, China.
Lin LiDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Number 20, Third Section of People's South Road, Chengdu, 610000, China.
Hanyu CaoDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Number 20, Third Section of People's South Road, Chengdu, 610000, China.
Deyi LuoDepartment of Urology, West China Hospital, Sichuan University, Chengdu, China.
Hong ShenDepartment of Urology, West China Hospital, Sichuan University, Chengdu, China.
Huizhu ChenDepartment of Radiology, West China Second University Hospital, Sichuan University, Chengdu, China.
Mingrong XiDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Number 20, Third Section of People's South Road, Chengdu, 610000, China. xmrjzz@126.com.ORCID 0000-0002-6903-0625

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUreteral injury is an intractable complication in gynecological cancer surgeries. Identifying risk factors can ensure safety of the ureters intraoperatively. A narrow pelvis is known to exert extra difficulties in pelvic surgeries. However, whether pelvic dimension can affect the risk of ureteral injury in gynecological cancer surgeries is poorly understood. We aimed to evaluate the association between pelvic dimension and the risk of ureteral injury during gynecological cancer surgeries.

methodsAll patients who had undergone gynecological cancer surgeries were searched from January 2011 to July 2017. We included patients with ureteral injury who had available data of abdominal and pelvic computed tomography for measuring pelvic dimensions. Multivariate condition logistic analysis was used to identify the risk factors independently correlated with ureteral injury in gynecological cancer surgeries.

resultsA total of 43 cases with 86 controls were included in this study. We discovered that a longer anteroposterior diameter of the mid-pelvis (odds ratio [OR] 1.07, 95% confidence interval [CI] 1.01-1.13, P = 0.019) and a shorter transverse diameter of the mid-pelvis (OR 0.92, 95% CI 0.86-0.98, P = 0.013) were associated with ureteral injury in gynecological cancer surgeries. In laparoscopic analysis, a longer anteroposterior diameter of the mid-pelvis (OR 1.11, 95% CI 1.00-1.24, P = 0.041) was a risk factor for ureteral injury. In the analysis of open surgery, a longer transverse diameter of the mid-pelvis (OR 0.79, 95% CI 0.66-0.93, P = 0.006) was a protective factor for ureteral injury.

conclusionsThis study demonstrated that mid-pelvis dimensions were associated with ureteral injury, but the observed differences were too small. In addition, pelvic inlet dimensions did not appear to relate with ureteral injury. Thus, these pelvimetry measures could not be beneficial in assessing the risk of ureteral injury in gynecological cancer surgeries.

Indexed as

AdultFemaleGenital Neoplasms, FemaleGynecologic Surgical ProceduresHumansLaparoscopyMiddle AgedPelvimetryPelvisRisk FactorsUreterCancerGynecologyPelvic dimensionSurgeryUreteral injury

Identifiers

PMID31595400

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.