[MRI-based prognostic factors predicting surgical complexity in rectal cancer].
| Title: | [MRI-based prognostic factors predicting surgical complexity in rectal cancer]. |
|---|---|
| Transliterated Title: | Vliyanie prognosticheskikh faktorov MRT-pel'viometrii malogo taza na slozhnost' khirurgicheskikh operatsii u bol'nykh rakom pryamoi kishki. |
| Authors: | Lukianov AM; Lomonosov Moscow State University, Moscow, Russia.; Garmanova TN; Lomonosov Moscow State University, Moscow, Russia.; Markaryan DR; Lomonosov Moscow State University, Moscow, Russia.; Kazachenko EA; Lomonosov Moscow State University, Moscow, Russia.; A Bagatelya Z; Botkin Moscow Multi-Field Scientific Clinical Center, Moscow, Russia.; Peoples' Friendship University of Russia, Moscow, Russia.; Lebedev SS; Botkin Moscow Multi-Field Scientific Clinical Center, Moscow, Russia.; Peoples' Friendship University of Russia, Moscow, Russia.; Kulushev VM; Botkin Moscow Multi-Field Scientific Clinical Center, Moscow, Russia.; Maksimkin AI; Botkin Moscow Multi-Field Scientific Clinical Center, Moscow, Russia.; S Lebedko M; Botkin Moscow Multi-Field Scientific Clinical Center, Moscow, Russia.; Lukin AY; Botkin Moscow Multi-Field Scientific Clinical Center, Moscow, Russia.; Peoples' Friendship University of Russia, Moscow, Russia.; Kubyshkin VA; Lomonosov Moscow State University, Moscow, Russia. |
| Source: | Khirurgiia [Khirurgiia (Mosk)] 2026 (2), pp. 55-62. |
| Publication Type: | English Abstract; Journal Article |
| Language: | Russian |
| Journal Info: | Publisher: Media Sfera Country of Publication: Russia (Federation) NLM ID: 0412765 Publication Model: Print Cited Medium: Print ISSN: 0023-1207 (Print) Linking ISSN: 00231207 NLM ISO Abbreviation: Khirurgiia (Mosk) Subsets: MEDLINE |
| Imprint Name(s): | Publication: : Moskva : Media Sfera; Original Publication: Moskva, Meditsina [etc.] |
| MeSH Terms: | Rectal Neoplasms*/surgery ; Rectal Neoplasms*/diagnosis ; Rectal Neoplasms*/pathology ; Magnetic Resonance Imaging*/methods ; Rectum*/surgery ; Rectum*/diagnostic imaging ; Rectum*/pathology ; Postoperative Complications*/diagnosis ; Postoperative Complications*/etiology; Pelvis/diagnostic imaging ; Pelvis/pathology ; Blood Loss, Surgical/statistics & numerical data ; Anastomotic Leak/etiology ; Anastomotic Leak/diagnosis ; Humans ; Male ; Female ; Middle Aged ; Prognosis ; Retrospective Studies ; Aged ; Operative Time ; Adult |
| Abstract: | Background: Colorectal cancer is one of the most prevalent oncological diseases, with rectal cancer accounting for a substantial proportion of cases. Surgical intervention remains the cornerstone of treatment, with its success significantly influenced by individual pelvic anatomy. Nevertheless, there is a notable scarcity of studies specifically focused on evaluating surgical complexity based on pelvic MRI pelvimetry.; Objective: To identify the prognostic factors of pelvic MRI pelviometry that affect the complexity of surgical treatment of rectal tumors.; Material and Methods: A retrospective analysis was conducted on 28 patients with tumors of the rectum and rectosigmoid junction who underwent surgery at the University Clinic of the MNOI of Lomonosov Moscow State University between 2022 and 2024. Surgical complexity was assessed based on operative time, blood loss, conversion rate, ureteral injury, and anastomotic leakage. Correlations between these parameters and MRI pelvimetry data were analyzed.; Results: The mean operative time was 262±85 minutes, with a mean blood loss of 161±240 mL. Ureteral injuries and conversions were observed in 7.1% of cases (2 each), and anastomotic leakage occurred in 10.7% (3 cases). Significant correlations were found between operative time and intertuberous (r=-0.55; p |
| Contributed Indexing: | Keywords: VRI-pelvimetry; prognostic factors; rectal cancer; surgical complexity; Local Abstract: [Publisher, Russian] Колоректальный рак занимает ведущие позиции среди онкологических заболеваний; особенно высока частота поражений прямой кишки. Основным методом лечения является хирургическое вмешательство, эффективность которого во многом зависит от анатомических особенностей таза пациента. При этом данные литературы, освещающие анализ сложности хирургического вмешательства на основании пельвиометрии, крайне ограничены. [Publisher, Russian] Выявление прогностических факторов МРТ-пельвиометрии малого таза, влияющих на сложность хирургического лечения больных с опухолями прямой кишки. [Publisher, Russian] Проведен ретроспективный анализ 28 пациентов с опухолью прямой кишки и ректосигмоидного перехода, оперированных в Университетской клинике МНОИ МГУ (2022—2024 гг.). В качестве критериев сложности операции учитывались длительность вмешательства, объем кровопотери, частота конверсий, повреждение мочеточника и несостоятельность швов анастомоза. Проанализирована корреляция этих параметров с данными МРТ-пельвиометрии. [Publisher, Russian] Средняя длительность операций достигала 262±85 мин, а объем кровопотери — 161±240 мл. Частота повреждения мочеточника составила 7,1% (2 случая), конверсии — также 7,1% (2 случая), а частота несостоятельности швов анастомоза — 10,7% (3 случая). Корреляция наблюдалась между длительностью операции и межбугорковым (r=–0,55; p |
| Entry Date(s): | Date Created: 20260220 Date Completed: 20260220 Latest Revision: 20260220 |
| Update Code: | 20260220 |
| DOI: | 10.17116/hirurgia202602155 |
| PMID: | 41717746 |
| Database: | MEDLINE |
English Abstract; Journal Article