CT/MRI pelvimetry as a useful tool when selecting patients with rectal cancer for transanal total mesorectal excision

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F60162694%3AG44__%2F16%3A43875520" target="_blank" >RIV/60162694:G44__/16:43875520 - isvavai.cz</a>

Alternative codes found

RIV/62690094:18450/16:50004621 RIV/00179906:_____/16:10330577

Result on the web

<a href="http://link.springer.com/article/10.1007%2Fs00464-015-4324-5" target="_blank" >http://link.springer.com/article/10.1007%2Fs00464-015-4324-5</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00464-015-4324-5" target="_blank" >10.1007/s00464-015-4324-5</a>

Result language

angličtina

Original language name

CT/MRI pelvimetry as a useful tool when selecting patients with rectal cancer for transanal total mesorectal excision

Original language description

Background: The quality of a total mesorectal excision (TME) is one of the most important prognostic factors for local recurrence of rectal carcinoma. The aim of this study was to clarify the manner in which lesser pelvis dimensions affect the quality of TME via the transabdominal approach, while simultaneously defining the criteria for selecting patients most likely to have Grade 3 TME outcomes for a transanal approach using the TaTME technique. Methods: An analysis from the registry was conducted using 93 of total 198 patients with rectal cancer of the mid- and lower third of the rectum who underwent: (1) a low anterior resection, (2) an ultra-low resection with coloanal anastomosis, or (3) an intersphinceteric rectal resection, all with total mesorectal excision. The procedures were carried out at the Department of Surgery at the University Hospital Hradec Králové between 2011 and 2014. Rectal specimens were histopathologically examined according to a standardized protocol. Pelvimetry data were obtained using anteroposterior, transverse, and sagittal CT or MRI scans. Results: A correlation was found between the quality of the TME and pelvimetry parameter A5, i.e., the angle between the longitudinal axis of the symphysis, and the lines between the symphysis and the promontory (R2 = -0.327, p < 0.001). The ordinal regression method was used to identify parameters of the model describing levels of probability for TME quality. These relationships were described by equations that provide probability of the achievement of each grade of TME. Conclusion: The correlation described by obtained equations between pelvimetry parameters and the quality of TME represents a new tool for use in preoperative decision-making with regard to resection via the transanal approach (TaTME).

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FJ - Surgery including transplantology

OECD FORD branch

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Project

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Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2016

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Surgical Endoscopy and Other Interventional Techniques

ISSN

0930-2794

e-ISSN

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Volume of the periodical

30

Issue of the periodical within the volume

3

Country of publishing house

US - UNITED STATES

Number of pages

8

Pages from-to

1164-1171

UT code for WoS article

000373021700045

EID of the result in the Scopus database

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