What question did this study set out to answer?

Assess whether preoperative CT measurements of pelvic diameters predict operative difficulty and surgical outcomes in men undergoing open radical cystectomy with urinary diversion.

June 7, 2023BMC UrologyOpen Access

Can pelvic diameter measurement have an effect on surgical outcomes in radical cystectomy?

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Authors

AEAnıl ErdikSakarya Eğitim ve Araştırma Hastanesi HÇHacı İbrahim ÇimenSakarya University OKOsman KöseSakarya University

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Implication

Cohort study reveals that narrow pelvic dimensions predict positive surgical margins in men undergoing radical cystectomy, indicating anatomical constraints affect surgical precision.

Key Points

Assess whether preoperative CT measurements of pelvic diameters predict operative difficulty and surgical outcomes in men undergoing open radical cystectomy with urinary diversion.
Evaluated preoperative computed tomography (CT) pelvic dimensions in 79 male patients undergoing open radical cystectomy with urinary diversion at a single institution.
Measured pelvic metrics including symphysis angle, pelvic depth, apical depth, conjugate diameters, interspinous distance (ISD), and the ISD index (ISD/apical depth).
Applied regression analyses to determine associations between pelvic anatomy, operative indicators, 90-day complications, and surgical margin status.
A total of 96 complications occurred in 52 of 79 patients (65.8%) within 90 days, with symphysis angle and body mass index correlating significantly with operative time (p = 0.006 and p < 0.001, respectively).
Estimated blood loss correlated significantly with preoperative hematocrit (p = 0.031), while pelvic dimensions were not significantly associated with minor or major complications.
Multivariate logistic regression identified higher Charlson comorbidity index, pathological T stage, and lower interspinous distance index as significant predictors of positive surgical margins.

Cite This Study

Erdik et al. (2023) studied this question.

synapsesocial.com/papers/6a8bf23db676b7d1a2fb888c https://doi.org/10.1186/s12894-023-01277-8

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Implication

Cohort study reveals that narrow pelvic dimensions predict positive surgical margins in men undergoing radical cystectomy, indicating anatomical constraints affect surgical precision.

Can pelvic diameter measurement have an effect on surgical outcomes in radical cystectomy?

Discussion

Member takes

Implication

Key Points

Cite This Study

Can pelvic diameter measurement have an effect on surgical outcomes in radical cystectomy?

Discussion

Member takes

Implication

Key Points

Cite This Study

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