Rektum kanseri hastalarında pelvis antropometri ölçümlerinin değerlendirilmesi
Küçük Resim Yok
Tarih
2025
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Malatya Turgut Özal Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Kolorektal kanser, dünya genelinde kanser türleri arasında üçüncü sırada olup, bu vakaların %40'ını rektum kanseri oluşturur. Rektum ve pelvis ölçüleri cerrahi müdahalelerde önemli bir unsurdur. Bu çalışmada, rektum kanserli ve sağlıklı bireylerde pelvis mesafesi değerlerini cinsiyete göre belirleyerek, cerrahi süreçte başarının arttırılması amaçlanmaktadır. 18-90 yaş arasında 114 kadın birey (57 hasta kadın- 57 kontrol grubu kadın) ile 114 erkek birey (57 hasta erkek- 57 kontrol grubu erkek) retrospektif olarak değerlendirildi. Bireylerin bilgisayarlı tomografi görüntülerinden Sectra IDS7 uygulaması ile ölçüm alındı. İstatiksel analizler IBM SPSS Statistics 26.0 for Windows (New York; ABD) kullanılarak yapıldı. Pelvis girişi, orta pelvis ve pelvis çıkışı sağlıklı kadınlarda, sağlıklı erkeklere göre büyük olduğu belirlendi. Conjugata diagonalis ve sağ diamater obliqua ortak olarak kadın ve erkek kontrol gruplarında, kadın ve erkek hasta gruplarına göre istatistiksel olarak daha büyük olduğu belirlendi (p<0.05). Kadın rektum kanserli hastalarda; pelvis girişinde diamater transversa, sağ ve sol diamater obliqua değerleri, orta pelviste interspinöz çap, pelvis çıkışında değerlendirilen tüm çapların, erkek rektum kanserli hastalara göre daha büyük olduğu belirlendi. Erkek rektum kanserli hastalarda ise orta pelvisin sagittal çapı, promontorium-S3,S4 arası ve coccygis-S3S4 arası mesafenin kadın hastalara göre büyük olduğu belirlendi (p<0.05). Sonuç olarak, her iki cinsiyette rektum kanseri bulunan hastaların pelvis antropometri değerlerinin, cerrahi uygulamalarda ameliyat süresi ve zorluk derecesi gibi faktörler üzerinde belirgin bir etkisi olduğunu ve pelvisdeki anatomik farklılıkların cerrahi başarıyı etkileyebileceğini düşünmekteyiz.
Colorectal cancer is the third leading cause of cancer worldwide, with rectal cancer accounting for 40% of cases. Rectal and pelvic measurements are an important factor in surgical interventions. In this study, we aimed to increase the success of the surgical process by determining the pelvic distance values according to gender in rectal cancer and healthy individuals. 114 females (57 female patients and 57 control group females) and 114 males (57 male patients and 57 control group males) aged 18-90 years were retrospectively evaluated. Measurements were taken from the computed tomography images of the individuals with Sectra IDS7 application. Statistical analyses were performed using IBM SPSS Statistics 26.0 for Windows (New York; USA). Pelvic inlet, mid pelvis and pelvic outlet were found to be larger in healthy female than in healthy male. Conjugata diagonalis and right diamater obliqua were statistically larger in female and male control groups than in female and male patient groups (p<0.05). In female rectal cancer patients; diamater transversa, right and left diamater obliqua values at pelvic inlet, interspinous diameter in the mid pelvis, and all diameters evaluated at pelvic outlet were found to be larger than male rectal cancer patients. The sagittal diameter of the middle pelvis, the distance between the promontorium-S3/S4 and the distance between the coccygis-S3/S4 were found to be larger in male rectal cancer patients compared to female patients (p<0.05). In conclusion, we suggest that pelvic anthropometry values of patients with rectal cancer of both sexes have a significant effect on factors such as operative time and degree of difficulty in surgical applications and that anatomical differences in the pelvis may affect surgical success.
Colorectal cancer is the third leading cause of cancer worldwide, with rectal cancer accounting for 40% of cases. Rectal and pelvic measurements are an important factor in surgical interventions. In this study, we aimed to increase the success of the surgical process by determining the pelvic distance values according to gender in rectal cancer and healthy individuals. 114 females (57 female patients and 57 control group females) and 114 males (57 male patients and 57 control group males) aged 18-90 years were retrospectively evaluated. Measurements were taken from the computed tomography images of the individuals with Sectra IDS7 application. Statistical analyses were performed using IBM SPSS Statistics 26.0 for Windows (New York; USA). Pelvic inlet, mid pelvis and pelvic outlet were found to be larger in healthy female than in healthy male. Conjugata diagonalis and right diamater obliqua were statistically larger in female and male control groups than in female and male patient groups (p<0.05). In female rectal cancer patients; diamater transversa, right and left diamater obliqua values at pelvic inlet, interspinous diameter in the mid pelvis, and all diameters evaluated at pelvic outlet were found to be larger than male rectal cancer patients. The sagittal diameter of the middle pelvis, the distance between the promontorium-S3/S4 and the distance between the coccygis-S3/S4 were found to be larger in male rectal cancer patients compared to female patients (p<0.05). In conclusion, we suggest that pelvic anthropometry values of patients with rectal cancer of both sexes have a significant effect on factors such as operative time and degree of difficulty in surgical applications and that anatomical differences in the pelvis may affect surgical success.
Açıklama
Lisansüstü Eğitim Enstitüsü, Anatomi Ana Bilim Dalı, Anatomi Bilim Dalı
Anahtar Kelimeler
Anatomi, Anatomy
