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Factors affecting operating time in laparoscopic anterior resection of rectal cancer

BACKGROUND: The objective of this study is to clarify the relationship between demographic and surgical factors and operating time, and thus operative difficulty, in patients undergoing laparoscopic anterior resection for mid-low rectal cancer, since different studies have derived different results....

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Autores principales: Wang, Chu, Xiao, Yi, Qiu, Huizhong, Yao, Jie, Pan, Weidong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941695/
https://www.ncbi.nlm.nih.gov/pubmed/24568575
http://dx.doi.org/10.1186/1477-7819-12-44
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author Wang, Chu
Xiao, Yi
Qiu, Huizhong
Yao, Jie
Pan, Weidong
author_facet Wang, Chu
Xiao, Yi
Qiu, Huizhong
Yao, Jie
Pan, Weidong
author_sort Wang, Chu
collection PubMed
description BACKGROUND: The objective of this study is to clarify the relationship between demographic and surgical factors and operating time, and thus operative difficulty, in patients undergoing laparoscopic anterior resection for mid-low rectal cancer, since different studies have derived different results. METHODS: The records of patients with mid-low rectal cancer who underwent laparoscopic anterior resection were retrospectively studied. Demographic data, tumor characteristics, and pelvimetry measurements were collected and analyzed with respect to operating time, using correlation coefficient analysis, principle component analysis, and linear regression. RESULTS: A total of 14 patients (10 males, 4 females; 65.50 ± 7.12 years of age) were included. Demographic and tumor characteristics not correlated with operating time. Body mass index (BMI) (P = 0.001); interacetabular distance (IA) (P = 0.001); anatomical transverse distance (IP) (P = 0.008); interischial distance (IS) (P = 0.002); intertuberous distance (IT) (P = 0.005); distance between the coccyx and symphysis (CoSy) (P = 0.013); and the angle of the lower border of the symphysis pubis, upper border of symphysis pubis, and sacral promontory (angle 5) (P = 0.004) were significantly associated with operating time. The equation was: [Formula: see text] CONCLUSIONS: Transverse diameters of the pelvis, BMI, angle 5, and CoSy played the most important role in affecting operating time. The equation can be a very useful tool for preoperative assessment.
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spelling pubmed-39416952014-03-14 Factors affecting operating time in laparoscopic anterior resection of rectal cancer Wang, Chu Xiao, Yi Qiu, Huizhong Yao, Jie Pan, Weidong World J Surg Oncol Research BACKGROUND: The objective of this study is to clarify the relationship between demographic and surgical factors and operating time, and thus operative difficulty, in patients undergoing laparoscopic anterior resection for mid-low rectal cancer, since different studies have derived different results. METHODS: The records of patients with mid-low rectal cancer who underwent laparoscopic anterior resection were retrospectively studied. Demographic data, tumor characteristics, and pelvimetry measurements were collected and analyzed with respect to operating time, using correlation coefficient analysis, principle component analysis, and linear regression. RESULTS: A total of 14 patients (10 males, 4 females; 65.50 ± 7.12 years of age) were included. Demographic and tumor characteristics not correlated with operating time. Body mass index (BMI) (P = 0.001); interacetabular distance (IA) (P = 0.001); anatomical transverse distance (IP) (P = 0.008); interischial distance (IS) (P = 0.002); intertuberous distance (IT) (P = 0.005); distance between the coccyx and symphysis (CoSy) (P = 0.013); and the angle of the lower border of the symphysis pubis, upper border of symphysis pubis, and sacral promontory (angle 5) (P = 0.004) were significantly associated with operating time. The equation was: [Formula: see text] CONCLUSIONS: Transverse diameters of the pelvis, BMI, angle 5, and CoSy played the most important role in affecting operating time. The equation can be a very useful tool for preoperative assessment. BioMed Central 2014-02-25 /pmc/articles/PMC3941695/ /pubmed/24568575 http://dx.doi.org/10.1186/1477-7819-12-44 Text en Copyright © 2014 Wang et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Wang, Chu
Xiao, Yi
Qiu, Huizhong
Yao, Jie
Pan, Weidong
Factors affecting operating time in laparoscopic anterior resection of rectal cancer
title Factors affecting operating time in laparoscopic anterior resection of rectal cancer
title_full Factors affecting operating time in laparoscopic anterior resection of rectal cancer
title_fullStr Factors affecting operating time in laparoscopic anterior resection of rectal cancer
title_full_unstemmed Factors affecting operating time in laparoscopic anterior resection of rectal cancer
title_short Factors affecting operating time in laparoscopic anterior resection of rectal cancer
title_sort factors affecting operating time in laparoscopic anterior resection of rectal cancer
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941695/
https://www.ncbi.nlm.nih.gov/pubmed/24568575
http://dx.doi.org/10.1186/1477-7819-12-44
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