caa a22 4500 606206957 CHVBK 20210128101014.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10353-015-0354-4 doi (NATIONALLICENCE)springer-10.1007/s10353-015-0354-4 Factors affecting the difficulty of laparoscopic total mesorectal excision for mid- to lower rectal cancer [Elektronische Daten] [W.-S. Lee, S. W. Park, J.-H. Baek] Summary: Background: The purpose of this study was to evaluate the predictive value of clinical and anatomical features on magnetic resonance imaging (MRI) that can affect pelvic dissection time for treating mid- to lower rectal cancer. Methods: A total of 90 consecutive male patients who underwent total mesorectal excision for mid- to lower rectal cancer were retrospectively assessed. MRI pelvimetry data were analyzed to identify anatomical features that could affect pelvic dissection time. Results: Univariate analysis indicated that tumor distance from the anal verge (p = 0.001), preoperative chemoradiotherapy (p  = 0.002), and interspinous distance (p = 0.002) were significantly associated with pelvic dissection time. Conclusion: Patients with a short interspinous distance may require a longer pelvic dissection time for treating rectal cancer by resection. Springer-Verlag Wien, 2015 Total mesorectal excision nationallicence Pelvis nationallicence Rectal cancer nationallicence Lee W.-S Department of Surgery, Gil Medical Center, School of Medicine, Gachon University, Incheon, South Korea aut Park S. W. Department of Surgery, Gil Medical Center, School of Medicine, Gachon University, Incheon, South Korea aut Baek J.-H Department of Surgery, Gil Medical Center, School of Medicine, Gachon University, Incheon, South Korea aut European Surgery Springer Vienna 47/6(2015-12-01), 337-340 1682-8631 47:6<337 2015 47 10353 https://doi.org/10.1007/s10353-015-0354-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10353-015-0354-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lee W.-S Department of Surgery, Gil Medical Center, School of Medicine, Gachon University, Incheon, South Korea aut NATIONALLICENCE 700 1- Park S. W. Department of Surgery, Gil Medical Center, School of Medicine, Gachon University, Incheon, South Korea aut NATIONALLICENCE 700 1- Baek J.-H Department of Surgery, Gil Medical Center, School of Medicine, Gachon University, Incheon, South Korea aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/6(2015-12-01), 337-340 1682-8631 47:6<337 2015 47 10353