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学科主题: 临床医学
题名:
Defining pelvic factors in sphincter-preservation of low rectal cancer with a three-dimensional digital model of pelvis
作者: Gu, Jin; Bo, Xue Feng; Xiong, Chun Yang; Wu, Ai Wen; Zhang, Xiao Peng; Li, Ming; An, Qi; Fang, Jing; Li, Jie; Zhang, Xuan; Wang, Hong Yi; Gao, Fei; You, Wei Cheng
关键词: rectal neoplasma ; pelvis ; sphincter preservation ; digital model
刊名: DISEASES OF THE COLON & RECTUM
发表日期: 2006-10-01
DOI: 10.1007/s10350-006-0665-4
卷: 49, 期:10, 页:1517-1526
收录类别: ISTP ; SCI
文章类型: Proceedings Paper
WOS标题词: Science & Technology
类目[WOS]: Gastroenterology & Hepatology ; Surgery
研究领域[WOS]: Gastroenterology & Hepatology ; Surgery
关键词[WOS]: TOTAL MESORECTAL EXCISION ; COLORECTAL-CANCER ; COLOANAL ANASTOMOSIS ; ABDOMINOPERINEAL RESECTION ; RADIATION-THERAPY ; LOCAL RECURRENCE ; SURGERY ; PELVIMETRY ; OUTCOMES ; IMPACT
英文摘要:

PURPOSE: Surgeons often can contribute failure of sphincter-preserving procedure to a limitation of pelvis anatomy; however, the), cannot determine definitely which anatomic diameter or spatial factor actually affected the success of the procedure. METHODS: Colorectal surgeons, radiologists, and research fellows collaborated closely to establish a three-dimensional digital model of the pelvis with spiral computerized tomography scanning data of patients with rectal cancer. Retrospective analysis on data of 97 patients with low rectal cancer was performed with this model to identify geometric factors that might affect a successful sphincter preservation procedure for low rectal cancer. RESULTS: A digital pelvic model was established. Multivariate analysis demonstrated that distance from the anal verge, body mass index, and pelvic factors affected the success of sphincter preservation. Sphincter preservation was more likely to succeed when the distance from analverge was >= 5 cut and body mass index was <25 kg/m(2). Shorter diameter from the upper pubis to the sacrococcyx, distance of sacrococcyx, and excessive curvature of the sacrum predicted failure of sphincter preservation in certain cases. CONCLUSIONS: Pelvic diameters could affect the success of sphincter preservation for low rectal cancer patients besides the distance from anal verge and body mass index.

语种: 英语
WOS记录号: WOS:000241861400007
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56795
Appears in Collections:北京大学临床肿瘤学院_肿瘤外科_期刊论文

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作者单位: 1.Peking Univ, Dept Surg, Sch Oncol, Beijing 100036, Peoples R China
2.Peking Univ, Dept Mech & Engn Sci, Beijing 100036, Peoples R China
3.Peking Univ, Dept Radiol, Sch Oncol, Beijing 100036, Peoples R China
4.Peking Univ, Dept Med Stat, Sch Oncol, Beijing 100036, Peoples R China
5.Peking Univ, Dept Epidemiol, Sch Oncol, Beijing 100036, Peoples R China

Recommended Citation:
Gu, Jin,Bo, Xue Feng,Xiong, Chun Yang,et al. Defining pelvic factors in sphincter-preservation of low rectal cancer with a three-dimensional digital model of pelvis[J]. DISEASES OF THE COLON &amp; RECTUM,2006,49(10):1517-1526.
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