Development of artificial blood loss and duration of excision score to evaluate surgical difficulty of total laparoscopic anterior resection in rectal cancer.

ABSTRACT:

Purpose

Total laparoscopic anterior resection (tLAR) has been gradually applied in the treatment of rectal cancer (RC). This study aims to develop a scoring system to predict the surgical difficulty of tLAR.

Methods

RC patients treated with tLAR were collected. The blood loss and duration of excision (BLADE) scoring system was built to assess the surgical difficulty by using restricted cubic spline regression. Multivariate logistic regression was used to evaluate the effect of the BLADE score on postoperative complications. The random forest (RF) algorithm was used to establish a preoperative predictive model for the BLADE score.

Results

A total of 1,994 RC patients were randomly selected for the training set and the test set, and 325 RC patients were identified as th

SUBMITTER: Lv J 

PROVIDER: S-EPMC10028132 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature