Does the visceral fat area impact the histopathology specimen metrics after total mesorectal excision for distal rectal cancer?
Background The aim of this study was to evaluate whether the visceral fat area (VFA) has an impact on the histopathology specimen metrics of male patients undergoing robotic total mesorectal resection (rTME) for distal rectal cancer. Methods Prospectively collected data of patients undergoing rTME f...
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| Veröffentlicht in: | Langenbeck's archives of surgery 2023-06, Vol.408 (1), p.257-257, Article 257 |
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| creator | Gachabayov, M Felsenreich, DM Bhatti, S Bergamaschi, R |
| description | Background
The aim of this study was to evaluate whether the visceral fat area (VFA) has an impact on the histopathology specimen metrics of male patients undergoing robotic total mesorectal resection (rTME) for distal rectal cancer.
Methods
Prospectively collected data of patients undergoing rTME for resectable rectal cancer by five surgeons during a period of three years were extracted from the REgistry of Robotic SURgery for RECTal cancer (RESURRECT). VFA was measured in all patients at preoperative computed tomography. Distal rectal cancer was defined as 100cm
2
was not significantly different from its counterpart (6.6 ± 4.8 mm versus 7.1 ± 9.5mm;
p
=0.752). CRM involvement rates were 7.6% in both groups (
p
=1.000). The DRM was not significantly different: 1.8±1.9cm versus 1.8±2.6cm;
p
=0.996. The quality of TME did not significantly differ: complete TME 87.3% vs. 83.7%; nearly complete TME 8.9% vs. 12.8%; incomplete TME 3.8% vs. 3.6%. Complications and clinical outcomes did not significantly differ.
Conclusion
This study did not find evidence to support that increased VFA would result in suboptimal histopathology specimen metrics when performing rTME in males with distal rectal cancer. |
| doi_str_mv | 10.1007/s00423-023-02981-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2832572393</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2832572393</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-83056ff5317d806646dde52facfafb20c5829d326c6da5b0daeb9e495d17d3e43</originalsourceid><addsrcrecordid>eNp9UDtPwzAQthCIlscfYEAeWQKOHTvJhFB5SpVYYLZc-9ymSuJguwgm_jruA8TEcLrTfY_TfQid5eQyJ6S8CoQUlGVkU3WVZ-UeGucF4xkteL7_Zx6hoxCWhBBR1sUhGrGSVbWoxBh93ToIOC4AvzdBg1cttipi5UHhphuUjhtw0YToBhUXrnXzTxwG0E0HPe4g-kYHrGwEj6OLSd9BcB70eoQP3YTG9dg6j03ySLsdpFWfzl2foAOr2gCnu36MXu_vXiaP2fT54WlyM800K8qYVYxwYS1neWkqIkQhjAFOrdJW2Rklmle0NowKLYziM2IUzGooam6SgEHBjtHF1nfw7m0FIcpu_W_bqh7cKkhaMcpLymqWqHRL1d6F4MHKwTed8p8yJ3IdvNwGL8mmUvCyTKLznf9q1oH5lfwknQhsSwgJ6ufg5dKtfJ9-_s_2G5JfkSo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2832572393</pqid></control><display><type>article</type><title>Does the visceral fat area impact the histopathology specimen metrics after total mesorectal excision for distal rectal cancer?</title><source>SpringerLink Journals</source><creator>Gachabayov, M ; Felsenreich, DM ; Bhatti, S ; Bergamaschi, R</creator><creatorcontrib>Gachabayov, M ; Felsenreich, DM ; Bhatti, S ; Bergamaschi, R ; RESURRECT Study Group ; on behalf of RESURRECT Study Group</creatorcontrib><description>Background
The aim of this study was to evaluate whether the visceral fat area (VFA) has an impact on the histopathology specimen metrics of male patients undergoing robotic total mesorectal resection (rTME) for distal rectal cancer.
Methods
Prospectively collected data of patients undergoing rTME for resectable rectal cancer by five surgeons during a period of three years were extracted from the REgistry of Robotic SURgery for RECTal cancer (RESURRECT). VFA was measured in all patients at preoperative computed tomography. Distal rectal cancer was defined as <6cm from the anal verge. The histopathology metrics included circumferential resection margin (CRM) (in mm) and its involvement rate (if <1mm), distal resection margin (DRM), and quality of TME (complete, nearly-complete, incomplete).
Results
Of 839 patients who underwent rTME, 500 with distal rectal cancer were included. One hundred and six (21.2%) males with VFA>100cm
2
were compared to 394 (78.8%) males or females with VFA≤100cm
2
. The mean CRM of males with VFA>100cm
2
was not significantly different from its counterpart (6.6 ± 4.8 mm versus 7.1 ± 9.5mm;
p
=0.752). CRM involvement rates were 7.6% in both groups (
p
=1.000). The DRM was not significantly different: 1.8±1.9cm versus 1.8±2.6cm;
p
=0.996. The quality of TME did not significantly differ: complete TME 87.3% vs. 83.7%; nearly complete TME 8.9% vs. 12.8%; incomplete TME 3.8% vs. 3.6%. Complications and clinical outcomes did not significantly differ.
Conclusion
This study did not find evidence to support that increased VFA would result in suboptimal histopathology specimen metrics when performing rTME in males with distal rectal cancer.</description><identifier>ISSN: 1435-2451</identifier><identifier>EISSN: 1435-2451</identifier><identifier>DOI: 10.1007/s00423-023-02981-7</identifier><identifier>PMID: 37389686</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdominal Surgery ; Cardiac Surgery ; General Surgery ; Medicine ; Medicine & Public Health ; Thoracic Surgery ; Traumatic Surgery ; Vascular Surgery</subject><ispartof>Langenbeck's archives of surgery, 2023-06, Vol.408 (1), p.257-257, Article 257</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-83056ff5317d806646dde52facfafb20c5829d326c6da5b0daeb9e495d17d3e43</citedby><cites>FETCH-LOGICAL-c347t-83056ff5317d806646dde52facfafb20c5829d326c6da5b0daeb9e495d17d3e43</cites><orcidid>0000-0001-9993-0563 ; 0000-0002-9200-1304 ; 0000-0002-5229-5096</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00423-023-02981-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00423-023-02981-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37389686$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gachabayov, M</creatorcontrib><creatorcontrib>Felsenreich, DM</creatorcontrib><creatorcontrib>Bhatti, S</creatorcontrib><creatorcontrib>Bergamaschi, R</creatorcontrib><creatorcontrib>RESURRECT Study Group</creatorcontrib><creatorcontrib>on behalf of RESURRECT Study Group</creatorcontrib><title>Does the visceral fat area impact the histopathology specimen metrics after total mesorectal excision for distal rectal cancer?</title><title>Langenbeck's archives of surgery</title><addtitle>Langenbecks Arch Surg</addtitle><addtitle>Langenbecks Arch Surg</addtitle><description>Background
The aim of this study was to evaluate whether the visceral fat area (VFA) has an impact on the histopathology specimen metrics of male patients undergoing robotic total mesorectal resection (rTME) for distal rectal cancer.
Methods
Prospectively collected data of patients undergoing rTME for resectable rectal cancer by five surgeons during a period of three years were extracted from the REgistry of Robotic SURgery for RECTal cancer (RESURRECT). VFA was measured in all patients at preoperative computed tomography. Distal rectal cancer was defined as <6cm from the anal verge. The histopathology metrics included circumferential resection margin (CRM) (in mm) and its involvement rate (if <1mm), distal resection margin (DRM), and quality of TME (complete, nearly-complete, incomplete).
Results
Of 839 patients who underwent rTME, 500 with distal rectal cancer were included. One hundred and six (21.2%) males with VFA>100cm
2
were compared to 394 (78.8%) males or females with VFA≤100cm
2
. The mean CRM of males with VFA>100cm
2
was not significantly different from its counterpart (6.6 ± 4.8 mm versus 7.1 ± 9.5mm;
p
=0.752). CRM involvement rates were 7.6% in both groups (
p
=1.000). The DRM was not significantly different: 1.8±1.9cm versus 1.8±2.6cm;
p
=0.996. The quality of TME did not significantly differ: complete TME 87.3% vs. 83.7%; nearly complete TME 8.9% vs. 12.8%; incomplete TME 3.8% vs. 3.6%. Complications and clinical outcomes did not significantly differ.
Conclusion
This study did not find evidence to support that increased VFA would result in suboptimal histopathology specimen metrics when performing rTME in males with distal rectal cancer.</description><subject>Abdominal Surgery</subject><subject>Cardiac Surgery</subject><subject>General Surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Thoracic Surgery</subject><subject>Traumatic Surgery</subject><subject>Vascular Surgery</subject><issn>1435-2451</issn><issn>1435-2451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9UDtPwzAQthCIlscfYEAeWQKOHTvJhFB5SpVYYLZc-9ymSuJguwgm_jruA8TEcLrTfY_TfQid5eQyJ6S8CoQUlGVkU3WVZ-UeGucF4xkteL7_Zx6hoxCWhBBR1sUhGrGSVbWoxBh93ToIOC4AvzdBg1cttipi5UHhphuUjhtw0YToBhUXrnXzTxwG0E0HPe4g-kYHrGwEj6OLSd9BcB70eoQP3YTG9dg6j03ySLsdpFWfzl2foAOr2gCnu36MXu_vXiaP2fT54WlyM800K8qYVYxwYS1neWkqIkQhjAFOrdJW2Rklmle0NowKLYziM2IUzGooam6SgEHBjtHF1nfw7m0FIcpu_W_bqh7cKkhaMcpLymqWqHRL1d6F4MHKwTed8p8yJ3IdvNwGL8mmUvCyTKLznf9q1oH5lfwknQhsSwgJ6ufg5dKtfJ9-_s_2G5JfkSo</recordid><startdate>20230630</startdate><enddate>20230630</enddate><creator>Gachabayov, M</creator><creator>Felsenreich, DM</creator><creator>Bhatti, S</creator><creator>Bergamaschi, R</creator><general>Springer Berlin Heidelberg</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9993-0563</orcidid><orcidid>https://orcid.org/0000-0002-9200-1304</orcidid><orcidid>https://orcid.org/0000-0002-5229-5096</orcidid></search><sort><creationdate>20230630</creationdate><title>Does the visceral fat area impact the histopathology specimen metrics after total mesorectal excision for distal rectal cancer?</title><author>Gachabayov, M ; Felsenreich, DM ; Bhatti, S ; Bergamaschi, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-83056ff5317d806646dde52facfafb20c5829d326c6da5b0daeb9e495d17d3e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Cardiac Surgery</topic><topic>General Surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Thoracic Surgery</topic><topic>Traumatic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gachabayov, M</creatorcontrib><creatorcontrib>Felsenreich, DM</creatorcontrib><creatorcontrib>Bhatti, S</creatorcontrib><creatorcontrib>Bergamaschi, R</creatorcontrib><creatorcontrib>RESURRECT Study Group</creatorcontrib><creatorcontrib>on behalf of RESURRECT Study Group</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Langenbeck's archives of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gachabayov, M</au><au>Felsenreich, DM</au><au>Bhatti, S</au><au>Bergamaschi, R</au><aucorp>RESURRECT Study Group</aucorp><aucorp>on behalf of RESURRECT Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does the visceral fat area impact the histopathology specimen metrics after total mesorectal excision for distal rectal cancer?</atitle><jtitle>Langenbeck's archives of surgery</jtitle><stitle>Langenbecks Arch Surg</stitle><addtitle>Langenbecks Arch Surg</addtitle><date>2023-06-30</date><risdate>2023</risdate><volume>408</volume><issue>1</issue><spage>257</spage><epage>257</epage><pages>257-257</pages><artnum>257</artnum><issn>1435-2451</issn><eissn>1435-2451</eissn><abstract>Background
The aim of this study was to evaluate whether the visceral fat area (VFA) has an impact on the histopathology specimen metrics of male patients undergoing robotic total mesorectal resection (rTME) for distal rectal cancer.
Methods
Prospectively collected data of patients undergoing rTME for resectable rectal cancer by five surgeons during a period of three years were extracted from the REgistry of Robotic SURgery for RECTal cancer (RESURRECT). VFA was measured in all patients at preoperative computed tomography. Distal rectal cancer was defined as <6cm from the anal verge. The histopathology metrics included circumferential resection margin (CRM) (in mm) and its involvement rate (if <1mm), distal resection margin (DRM), and quality of TME (complete, nearly-complete, incomplete).
Results
Of 839 patients who underwent rTME, 500 with distal rectal cancer were included. One hundred and six (21.2%) males with VFA>100cm
2
were compared to 394 (78.8%) males or females with VFA≤100cm
2
. The mean CRM of males with VFA>100cm
2
was not significantly different from its counterpart (6.6 ± 4.8 mm versus 7.1 ± 9.5mm;
p
=0.752). CRM involvement rates were 7.6% in both groups (
p
=1.000). The DRM was not significantly different: 1.8±1.9cm versus 1.8±2.6cm;
p
=0.996. The quality of TME did not significantly differ: complete TME 87.3% vs. 83.7%; nearly complete TME 8.9% vs. 12.8%; incomplete TME 3.8% vs. 3.6%. Complications and clinical outcomes did not significantly differ.
Conclusion
This study did not find evidence to support that increased VFA would result in suboptimal histopathology specimen metrics when performing rTME in males with distal rectal cancer.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37389686</pmid><doi>10.1007/s00423-023-02981-7</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-9993-0563</orcidid><orcidid>https://orcid.org/0000-0002-9200-1304</orcidid><orcidid>https://orcid.org/0000-0002-5229-5096</orcidid></addata></record> |
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| subjects | Abdominal Surgery Cardiac Surgery General Surgery Medicine Medicine & Public Health Thoracic Surgery Traumatic Surgery Vascular Surgery |
| title | Does the visceral fat area impact the histopathology specimen metrics after total mesorectal excision for distal rectal cancer? |
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