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Surgical Endoscopy

, Volume 24, Issue 12, pp 2974–2979 | Cite as

Magnetic resonance (MR) pelvimetry as a predictor of difficulty in laparoscopic operations for rectal cancer

  • Tim KilleenEmail author
  • Saswata Banerjee
  • Vardhini Vijay
  • Zaid Al-Dabbagh
  • Daren Francis
  • Steve Warren
Article

Laparoscopic surgery for rectal cancer is now well established. Recent studies have shown no difference in survival or oncologic outcomes when laparoscopic surgery is compared to open procedures [1, 2]. The laparoscopic approach does, however, present the surgeon with inherent challenges. Previous abdominal surgery, tumours closer to the anal verge, high body mass index (BMI), and preoperative radiotherapy have been shown to increase the difficulty of laparoscopic procedures in the pelvis [3, 4, 5, 6].

It is often assumed that laparoscopic resections for rectal cancer are also complicated by a deep, narrow pelvis in which access and vision are both restricted by pelvic anatomy. Although a majority of patients undergo preoperative pelvic magnetic resonance (MR) staging, radiological measurement of the bony pelvis––pelvimetry––has not been fully assessed as a predictor of difficult laparoscopic operations.

Male sex has been shown to correlate with surgeons’ perceived difficulty of...

Keywords

Rectal Cancer Laparoscopic Resection Circumferential Resection Margin Sacral Promontory Pelvic Anatomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Disclosures

Drs. Killeen and Dabbagh, Mr. Banerjee, Mr. Warren, Mr. Francis, and Mrs. Vijay have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Tim Killeen
    • 1
    • 3
    Email author
  • Saswata Banerjee
    • 1
  • Vardhini Vijay
    • 1
  • Zaid Al-Dabbagh
    • 2
  • Daren Francis
    • 1
  • Steve Warren
    • 1
  1. 1.Department of Laparoscopic Colorectal SurgeryChase Farm HospitalLondonUK
  2. 2.Department of Diagnostic and Interventional RadiologyChase Farm HospitalEnfieldUK
  3. 3.LondonUK

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