Factors affecting operating time in resection of Rectal Cancer
Journal Title: Journal of Medical Sciences - Year 2018, Vol 21, Issue 2
Abstract
Background:- Rectal cancer continues to be a challenging disease which most of the time needs proper staging and multimodal management to achieve the best possible cure rates. For operating surgeons, many factors may play a role in predicting the technical difficulties while conducting the operation. Objective: Objective of this study is to understand the relationship between Age, body mass index (BMI), Gender and patients anatomical factors on operating time in resection of mid-low rectal cancer. Methods: This was a prospective observational study conducted over a period of two years from Sept 2015 to Sept 2017. The study was conducted in the Department of General and Minimal Invasive Surgery, SKIMS which included 29 patients with mid-lower rectal cancer, who underwent anterior resection. Demographic data, body mass index (BMI), distance of tumor from anal verge and pelvimetry measurements were collected and analyzed with respect to operating time using co-relation coefficient analysis, principal component analysis, and linear regression. Results: The study included 20 (68.96%) females and 9 (31.03%) males.The mean operating time was 136.72±30.09. Multivariate analysis showed that parameters such as BMI (P=0.05), anatomical transverse distance (IP) (P=0.000), interischial distance (IS) (0.004), intertuberous distance (IT) (P=0.003), angle 5 (the angle of the lower border of symphysis pubis to the upper border of symphysis pubis to the sacralpromontory) (p=0.017) and distance of tumor from anal verge (Td) (p=0.001), were statistically significant. Whereas parameters such as Interacetabular distance (IA) (P=0.11) and distance from Pubis to coccyx (COSY) (P=0.674) had no statistical significance. Conclusion: Gender, BMI, angle 5, tumor distance from anal verge, transverse diameters of the pelvis except IA, and COSY played the most important role in affecting operating time. The equation can be very useful tool for pre-operative assessment.
Authors and Affiliations
Fazl Q Parray, Mudasir Ahmad Sofi, Feroze Shaheen, Nisar A Chowdri, Rauf Wani
Keywords
Related Articles
- EP ID EP466325
- DOI -
- Views 56
- Downloads 0
Pneumococcal Vaccination in Patients with Chronic Kidney Disease and Kidney Transplant Recipients
Chronic kidney disease (CKD) denotes structural and/or functional impairment of kidneys that persists for more than three months (1). CKD is arbitrarily divided into stages 1 to 5 based on the level of glomerular filtrat...
Autophagy: Eat Yourself to Live
Autophagy is a metabolic process of consumption of the body's own tissues occurring in starvation and certain diseases. The field of autophagy has grown enormously over the past 1015 years, with rapid advances in our und...
Ceftriaxone Induced Toxic Epidermal Necrolysis
Introduction: toxic epidermal necrolysis is a life-threatening exfoliative disorder with a high mortality rate Case presentation: we present a 65-year-old Kashmiri male patient who was admitted for recurrent bilateral i...
A Giant Tumour of Breast: Phyllodes Tumour
Phyllodes tumour of breast is a rare fibro-epithelial tumour of the breast accounting for less than 1% of the tumours of breast. They are mostly found in females between 45-49 years of age; in contrast, invasive carcinom...
Haemophilia B
Haemophilia is a group of inherited blood disorders in which blood does not clot properly. Bleeding disorders are due to defect in blood vessels, the coagulation mechanism or the blood platelets. Blood coagulation mechan...