Intra-operative measurement of surgical lengths of the rectum and the peritoneal reflection in Korean.
The lengths of the surgical rectum and peritoneal reflection were important factors in treatment modality of rectal tumor. To evaluate the surgical length of rectum, we measured the length of the peritoneal reflections, sacral promontory and termination of the taenia coli from the anal verge by rigid sigmoidoscope in 23 male and 23 females during operation. The mean lengths of the sacral promontory were 16.5+/- 2.2 cm and 16.1+/-2.2 cm in the males and females, respectively. As for the peritoneal reflection, the results were anterior (8.8+/-2.2 cm, 8.1+/-1.7 cm), lateral (10.8+/-2.7 cm, 11.4+/-1.9 cm) and posterior (13.8+/-2.5 cm, 14.0+/-1.9 cm), respectively. There were no statistically significant differences between male and female. And only height had a correlation with the length of sacral promontory both in male and female (p=0.015 and p=0.018, respectively). For all the estimated lengths, the length of the sacral promontory had a correlation with the lengths of the anterior (p<0.001 and p=0.001) and posterior (p<0.001 and p<0.001) peritoneal reflections in males and females, respectively. We suggest that the intra-operative lengths of the rectum and peritoneal reflection will be useful information for treatment modality of rectal tumor clinically in Korean.
Yun
Hae Ran
HR
Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Chun
Ho-Kyung
HK
Lee
Won Suk
WS
Cho
Yong Beom
YB
Yun
Seong Hyeon
SH
Lee
Woo Yong
WY
D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000473:pathology / Q000601:surgery; D000886:Anthropometry; D001827:Body Height; D015992:Body Mass Index; D005260:Female; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D007723:Korea; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D010537:Peritoneum / Q000473:pathology / Q000601:surgery; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D012007:Rectum / Q000473:pathology* / Q000601:surgery; D012737:Sex Factors