A simple difficulty scoring system for laparoscopic total mesorectal excision
| Autor: | Steven D. Wexner, Dimitri Krizzuk, Giovanna Dasilva, Albert Parlade, Hong Liang, Shlomo Yellinek |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Laparotomy medicine.medical_specialty Univariate analysis Multivariate analysis Receiver operating characteristic Rectal Neoplasms business.industry medicine.medical_treatment Operative Time Gastroenterology Logistic regression Total mesorectal excision Colorectal surgery Surgery Treatment Outcome Risk Factors medicine Humans Female Laparoscopy business Body mass index |
| Zdroj: | Techniques in Coloproctology. 24:1137-1143 |
| ISSN: | 1128-045X 1123-6337 |
| Popis: | The proposed difficulty scoring system (DSS) may aid in preoperative planning for laparoscopic total mesorectal excision (L-TME) for rectal cancer. Fifty-three patients [28 males; 59.0 (31.0–88.0) years of age] treated for rectal cancer at our institution from 2/2011–5/2018 were identified. “Difficult operation” (DO) was defined as the presence of ≥3 factors: operative time ≥320 min, estimated blood loss >250 ml, intraoperative complications, conversion to laparotomy, >2 stapler applications, incomplete TME quality, and/or subjective perceived difficulty. Univariate analysis and multivariate logistic regression model with backward elimination method were used to obtain a DSS which consists of two factors: sex (male = 1 and female = 0) and body mass index (BMI) (≥30 kg/m2 = 1 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink