{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T22:20:25Z","timestamp":1780352425627,"version":"3.54.1"},"reference-count":22,"publisher":"Baishideng Publishing Group Inc.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Gastrointest Oncol"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n          <jats:p>Laparoscopic rectal cancer radical surgery is a complex procedure affected by various factors. However, the existing literature lacks standardized parameters for the pelvic region and soft tissues, which hampers the establishment of consistent conclusions.<\/jats:p>\n          <jats:p>AIM<\/jats:p>\n          <jats:p>To comprehensively assess 16 pelvic and 7 soft tissue parameters through computerized tomography (CT)-based three-dimensional (3D) reconstruction, providing a strong theoretical basis to address challenges in laparoscopic rectal cancer radical surgery.<\/jats:p>\n          <jats:p>METHODS<\/jats:p>\n          <jats:p>We analyzed data from 218 patients who underwent radical laparoscopic surgery for rectal cancer, and utilized CT data for 3D pelvic reconstruction. Specific anatomical points were carefully marked and measured using advanced 3D modeling software. To analyze the pelvic and soft tissue parameters, we employed statistical methods including paired sample t -tests, Wilcoxon rank-sum tests, and correlation analysis.<\/jats:p>\n          <jats:p>RESULTS<\/jats:p>\n          <jats:p>The investigation highlighted significant sex disparities in 14 pelvic bone parameters and 3 soft tissue parameters. Males demonstrated larger measurements in pelvic depth and overall curvature, smaller measurements in pelvic width, a larger mesorectal fat area, and a larger anterior-posterior abdominal diameter. By contrast, females exhibited wider pelvises, shallower depth, smaller overall curvature, and an increased amount of subcutaneous fat tissue. However, there were no significant sex differences observed in certain parameters such as sacral curvature height, superior pubococcygeal diameter, rectal area, visceral fat area, waist circumference, and transverse abdominal diameter.<\/jats:p>\n          <jats:p>CONCLUSION<\/jats:p>\n          <jats:p>The reconstruction of 3D CT data enabled accurate pelvic measurements, revealing significant sex differences in both pelvic and soft tissue parameters. This study design offer potential in predicting surgical difficulties and creating personalized surgical plans for male rectal cancer patients with a potentially \u201cdifficult pelvis\u201d, ultimately improving surgical outcomes. Further research and utilization of these parameters could lead to enhanced surgical methods and patient care in laparoscopic rectal cancer radical surgery.<\/jats:p>","DOI":"10.4251\/wjgo.v16.i3.773","type":"journal-article","created":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T02:02:20Z","timestamp":1710208940000},"page":"773-786","source":"Crossref","is-referenced-by-count":1,"title":["Study on sex differences and potential clinical value of three-dimensional computerized tomography pelvimetry in rectal cancer patients"],"prefix":"10.4251","volume":"16","author":[{"given":"Xiao-Cong","family":"Zhou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei-Yue","family":"Ke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Dhamija","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.issn.0529-5815.2018.E001"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800691019"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-007-0433-5"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0665-4"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000004462"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-011-1333-2"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6331-9"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-017-1547-1"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-017-2793-9"},{"key":"B10","unstructured":"Bertani E, Chiappa A, Della Vigna P, Radice D, Papis D, Cossu L, Biffi R, Bianchi PP, Luca F, Andreoni B. The Impact of pelvimetry on anastomotic leakage in a consecutive series of open, laparoscopic and robotic low anterior resections with total mesorectal excision for rectal cancer. Hepatogastroenterology 2014; 61: 1574-1581"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1177\/0284185116637248"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001490"},{"key":"B13","unstructured":"Abitbol MM, Taylor UB, Castillo I, Rochelson BL. The cephalopelvic disproportion index. Combined fetal sonography and x-ray pelvimetry for early detection of cephalopelvic disproportion. J Reprod Med 1991; 36: 369-373"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2018.03.024"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-020-03802-9"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7819-12-44"},{"key":"B17","unstructured":"Verschueren RC, Mulder NH, Van Loon AJ, De Ruiter AJ, Szabo BG. The anatomical substrate for a difference in surgical approach to rectal cancer in male and female patients. Anticancer Res 1997; 17: 637-641"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2006.01090.x"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e31819ef62f"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-018-3065-z"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1075-1"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.01.007"}],"container-title":["World Journal of Gastrointestinal Oncology"],"original-title":[],"link":[{"URL":"https:\/\/www.wjgnet.com\/1948-5204\/full\/v16\/i3\/773.htm","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wjgnet.com\/1948-5204\/full\/v16\/i3\/773.htm","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T02:03:51Z","timestamp":1710209031000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wjgnet.com\/1948-5204\/full\/v16\/i3\/773.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,15]]},"references-count":22,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.4251\/wjgo.v16.i3.773","relation":{},"ISSN":["1948-5204"],"issn-type":[{"value":"1948-5204","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3,15]]}}}