지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.99 No.2
- 발행연도
- 2020.8
- 수록면
- 90 - 96 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: Narrow pelvis has been considered an adverse factor for postoperative and oncologic outcomes after rectal cancer surgery. The aim of this study was to investigate the validity of using only axial CT scan images to calculate the pelvic cross-sectional area for the prediction of adverse outcomes after rectal cancer surgery.
Methods: The medical records of patients who underwent rectal cancer surgery were reviewed and analyzed retrospectively. Axial images of CT scan were used to measure the pelvic cross-sectional area. Pelvic surgical site infection (SSI), positive resection margin, and early local recurrence were adopted as end-points to analyze the impact of pelvimetry on surgical outcome.
Results: The mean pelvic cross-sectional area was 84.3 ± 10.9 ㎠. Males had significantly smaller pelvic areas than females (P ＜ 0.001). Comparing pelvic cross-sectional areas according to the surgical outcomes, the results indicated that patients with pelvic SSI and local failure (positive resection margin or local recurrence within 1 year) have significantly smaller cross-sectional-area than SSI and local failure-free patients (P = 0.013 and P = 0.031). A calculated crosssectional area of 88.8 ㎠ was determined as the cutoff value for the prediction of pelvic SSI and/or local failure, which was significant in a validating analysis.
Conclusion: The pelvic cross-sectional area obtained from a routine axial CT scan image was associated with pelvic SSI, positive resection margin, and early local recurrence. It might be an intuitive, feasible, and easily adoptable method for predicting surgical outcomes.
Methods: The medical records of patients who underwent rectal cancer surgery were reviewed and analyzed retrospectively. Axial images of CT scan were used to measure the pelvic cross-sectional area. Pelvic surgical site infection (SSI), positive resection margin, and early local recurrence were adopted as end-points to analyze the impact of pelvimetry on surgical outcome.
Results: The mean pelvic cross-sectional area was 84.3 ± 10.9 ㎠. Males had significantly smaller pelvic areas than females (P ＜ 0.001). Comparing pelvic cross-sectional areas according to the surgical outcomes, the results indicated that patients with pelvic SSI and local failure (positive resection margin or local recurrence within 1 year) have significantly smaller cross-sectional-area than SSI and local failure-free patients (P = 0.013 and P = 0.031). A calculated crosssectional area of 88.8 ㎠ was determined as the cutoff value for the prediction of pelvic SSI and/or local failure, which was significant in a validating analysis.
Conclusion: The pelvic cross-sectional area obtained from a routine axial CT scan image was associated with pelvic SSI, positive resection margin, and early local recurrence. It might be an intuitive, feasible, and easily adoptable method for predicting surgical outcomes.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (23)
참고문헌 신청
Kim JS / 2009 / Risk factors for anastomotic leakage after laparoscopic intracorporeal colorectal anastomosis with a double stapling technique / J Am Coll Surg 209:694~701
Lenhard MS / 2010 / Pelvimetry revisited : analyzing cephalopelvic disproportion / Eur J Radiol 74:e107~e111
Neill MG / 2007 / Preoperative evaluation of the “hostile pelvis” in radical prostatectomy with computed tomographic pelvimetry / BJU Int 99:534~538
Sporri S / 1997 / Pelvimetry by magnetic resonance imaging as a diagnostic tool to evaluate dystocia / Obstet Gynecol 89:902~908
Targarona EM / 2008 / Can we predict immediate outcome after laparoscopic rectal surgery? Multivariate analysis of clinical, anatomic, and pathologic features after 3-dimensional reconstruction of the pelvic anatomy / Ann Surg 247:642~649
Lenhard MS / 2010 / Pelvimetry revisited : analyzing cephalopelvic disproportion / Eur J Radiol 74:e107~e111
Neill MG / 2007 / Preoperative evaluation of the “hostile pelvis” in radical prostatectomy with computed tomographic pelvimetry / BJU Int 99:534~538
Sporri S / 1997 / Pelvimetry by magnetic resonance imaging as a diagnostic tool to evaluate dystocia / Obstet Gynecol 89:902~908
Targarona EM / 2008 / Can we predict immediate outcome after laparoscopic rectal surgery? Multivariate analysis of clinical, anatomic, and pathologic features after 3-dimensional reconstruction of the pelvic anatomy / Ann Surg 247:642~649
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UCI(KEPA) : I410-ECN-0101-2020-514-001100177