دورية أكاديمية
أعرض في EDS

Can CT Pelvimetry Be Used to Predict Circumferential Resection Margin Positivity in Laparoscopic Resection of Middle and Lower Rectum Cancer?

التفاصيل البيبلوغرافية
العنوان: Can CT Pelvimetry Be Used to Predict Circumferential Resection Margin Positivity in Laparoscopic Resection of Middle and Lower Rectum Cancer?
المؤلفون: Gojayev A; Department of General Surgery, Baskent University School of Medicine, Ankara, TUR., Yuksel C; Department of Surgical Oncology, Mersin State Hospital, Mersin, TUR., Akbulut S; Department of Surgical Oncology, Ankara University School of Medicine, Ankara, TUR., Erşen O; Department of General Surgery, İzmir Ekol Hospital, İzmir, TUR., Bakırarar B; Department of Biostatistics, Ankara University School of Medicine, Ankara, TUR., Gülpınar B; Department of Radiology, Ankara University School of Medicine, Ankara, TUR., Gürsoy Çoruh A; Department of Radiology, Ankara University School of Medicine, Ankara, TUR., Unal AE; Department of Surgical Oncology, Ankara University School of Medicine, Ankara, TUR., Demirci S; Department of Surgical Oncology, Ankara University School of Medicine, Ankara, TUR.
المصدر: Cureus [Cureus] 2022 Nov 21; Vol. 14 (11), pp. e31745. Date of Electronic Publication: 2022 Nov 21 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Background Previous studies have shown that pelvimetry can be valuable in predicting surgical difficulties in rectal cancer operations. However, its usability in predicting circumferential resection margin (CRM) involvement remains debatable. This study investigated the factors affecting CRM status and the importance of computed tomography (CT) pelvimetry in predicting CRM involvement in laparoscopic resection of middle and lower rectal cancer. Methodology In this study, we retrospectively investigated the data of 111 patients who underwent a laparoscopic operation for middle and lower rectum cancer at Ankara University Faculty of Medicine, Department of Surgical Oncology between January 2014 and January 2020. The predictive value of CT pelvimetry and other variables on the CRM status was analyzed. Results The following four pelvic parameters differed significantly between the genders: transverse diameter of the pelvic inlet (p = 0.024), anteroposterior diameter of the pelvic outlet (p = 0.003), transverse diameter of the pelvic outlet (p < 0.001), and pelvic depth (p < 0.001). The effect of pelvic anatomic parameters on CRM involvement was not found to be significant. It was found that tumor height from the anal verge (p = 0.004), tumor size (p < 0.001), and gender (p = 0.033) were significant risk factors for CRM involvement. Survival was poor in patients with male gender (p = 0.032), perineural invasion (p < 0.001), and grade 3 tumor. Conclusions In this study, no benefit was found in predicting CRM positivity from CT pelvimetry in the laparoscopic resection of middle and lower rectal cancer. Besides, tumor height from the anal verge, tumor size, and gender were important factors for CRM positivity. Although our study sheds light on this issue, prospective randomized studies with larger sample sizes are needed.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Gojayev et al.)
References: Ann Surg Oncol. 2012 Nov;19(12):3727-36. (PMID: 22752371)
Dis Colon Rectum. 2010 Mar;53(3):308-14. (PMID: 20173478)
Ann Surg Oncol. 2008 Mar;15(3):721-8. (PMID: 18058183)
Anticancer Res. 1997 Jan-Feb;17(1B):637-41. (PMID: 9066593)
Surgery. 2009 Sep;146(3):483-9. (PMID: 19715805)
J Surg Oncol. 2018 Apr;117(5):1038-1042. (PMID: 29473947)
Am J Surg. 1996 Oct;172(4):324-7. (PMID: 8873522)
Surg Today. 2018 Dec;48(12):1040-1051. (PMID: 29961173)
Eur J Cancer. 2013 Jan;49(1):82-9. (PMID: 22909998)
Yonsei Med J. 2013 Jan 1;54(1):131-8. (PMID: 23225809)
Surg Endosc. 2011 Jun;25(6):1907-12. (PMID: 21136101)
Br J Surg. 1994 Aug;81(8):1227-9. (PMID: 7953370)
World J Surg. 2007 Jun;31(6):1313-20. (PMID: 17468974)
J Reprod Med. 1991 May;36(5):369-73. (PMID: 2061886)
Br J Radiol. 2008 Jun;81(966):468-73. (PMID: 18347028)
Surg Endosc. 2012 Jan;26(1):277. (PMID: 21614664)
Lancet. 1986 Jun 28;1(8496):1479-82. (PMID: 2425199)
Clin Cancer Res. 2007 Nov 15;13(22 Pt 1):6617-23. (PMID: 18006762)
Ann Oncol. 2012 Oct;23(10):2479-2516. (PMID: 23012255)
Br J Surg. 2011 Apr;98(4):573-81. (PMID: 21267989)
Surg Clin North Am. 2017 Jun;97(3):503-513. (PMID: 28501243)
Surg Today. 2018 Jan;48(1):51-57. (PMID: 28597348)
Lancet. 1986 Nov 1;2(8514):996-9. (PMID: 2430152)
Int J Clin Exp Med. 2015 Feb 15;8(2):2174-81. (PMID: 25932148)
Br J Surg. 2004 Feb;91(2):210-6. (PMID: 14760670)
Eur J Surg Oncol. 2016 Dec;42(12):1841-1850. (PMID: 27697315)
Colorectal Dis. 2005 May;7(3):232-40. (PMID: 15859960)
J Clin Oncol. 2000 Apr;18(8):1771-9. (PMID: 10764439)
Int J Colorectal Dis. 2017 Aug;32(8):1125-1135. (PMID: 28315018)
Colorectal Dis. 2007 Oct;9(8):706-12. (PMID: 17535279)
فهرسة مساهمة: Keywords: laparoscopy; pelvimetry; positive surgical margin; rectal cancer; tomography
تواريخ الأحداث: Date Created: 20221226 Latest Revision: 20221227
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9770547
DOI: 10.7759/cureus.31745
PMID: 36569682
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.31745