ArticleSurgical endoscopy2020
Pelvic dimensions on preoperative imaging can identify poor-quality resections after laparoscopic low anterior resection for mid- and low rectal cancer.
Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 15 citations in OpenAlex.
- Interpretable machine learning model for predicting operative difficulty in robotic total mesorectal excision for mid-low rectal cancer.Journal of robotic surgery · 2026Article
- Article
- Machine learning for predicting surgical difficulty of laparoscopic total mesorectal excision for rectal cancer: integrating MR-based pelvimetry and peritoneal reflection.Frontiers in medicine · 2026Article
- Developing and external validating a prediction model using machine learning and logistic regression: informing the surgical approach for robotic surgery based on preoperative MRI.Journal of robotic surgery · 2025Article
- Role of pelvimetry in predicting surgical outcomes and morbidity in rectal cancer surgery: A retrospective analysis.World journal of gastrointestinal surgery · 2025Article
- Disparities in Outcomes following Resection of Locally Advanced Rectal Cancer.Current oncology (Toronto, Ont.) · 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
- What affects the selection of diverting ileostomy in rectal cancer surgery: a single-center retrospective study.BMC surgery · 2024Article
- Advances in pelvic imaging parameters predicting surgical difficulty in rectal cancer.World journal of surgical oncology · 2023Review
- Two-step lifting method using the Wang Intestinal Strap for laparoscopic radical resection of mid-low rectal cancer (with video).Gastroenterology report · 2022Article
- 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
- Risk factors for suboptimal laparoscopic surgery in rectal cancer patients.Langenbeck's archives of surgery · 2021Article
- Correlation between Pelvic Diameter and Different Surgical Procedures for Exogenous Cervical Leiomyoma.Gynecology and minimally invasive therapyArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh-quality surgery is essential for optimal oncologic outcomes in rectal cancer, but total mesorectal excision (TME) can be difficult for mid- and low rectal cancers. Preoperative identification of patients at risk for difficult TME may change the operative approach. The objective of this study was to determine if MRI pelvimetry can predict poor-quality surgery in patients undergoing laparoscopic low anterior resection (LAR) for mid- and low rectal cancer.
methodsAll patients undergoing laparoscopic LAR for rectal cancer ≤ 9 cm from the anal verge at a single tertiary care referral center from 2011 to 2017 were retrospectively reviewed. Pelvic dimensions were measured from preoperative staging MRI on sagittal and axial views. Pelvimetry variables were all dichotomized based on median values. Exploratory factor analysis then identified the most relevant variables for regression analysis. The primary outcome was poor-quality resection, defined as an incomplete mesorectal grade, or involved circumferential (CRM) or distal (DRM) resection margins.
resultsThere were 92 patients included in this study, of which 70% were male, the mean BMI was 26.0 kg/m
conclusionsMRI pelvimetry can identify patients at risk for a poor-quality resection after laparoscopic proctectomy for mid- and low rectal cancer. These patients may benefit from the selective use of more advanced access methods to improve surgical resection quality.
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