MRI‐based score to predict surgical difficulty in patients with rectal cancer. BJS 2018; 105: 140-146.
Published: 31st October 2017
Authors: L. Escal, S. Nougaret, B. Guiu, M. M. Bertrand, H. de Forges, R. Tetreau et al.
Rectal cancer surgery is technically challenging and depends on many factors. This study evaluated the ability of clinical and anatomical factors to predict surgical difficulty in total mesorectal excision.
Consecutive patients who underwent total mesorectal excision for locally advanced rectal cancer in a laparoscopic, robotic or open procedure after neoadjuvant treatment, between 2005 and 2014, were included in this retrospective study. Preoperative clinical and MRI data were studied to develop a surgical difficulty grade.
In total, 164 patients with a median age of 61 (range 26–86) years were considered to be at low risk (143, 87·2 per cent) or high risk (21, 12·8 per cent) of surgical difficulty. In multivariable analysis, BMI at least 30 kg/m2 (
This simple morphometric score may assist surgical decision‐making and comparative study by defining operative difficulty before surgery.Full text
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