Our study got a step closer to probable cause of the poor prognosis in rectal cancer in obese patients. The correlation of the area within mesorectum with BMI and also the correlation between the mesorectal fat thickness and distant metastasis signifies the need of selection of optimum treatment modality for obese patients in rectal cancer. This preliminary study may shed some light on the current scenario and show probable direction for the solution. Selection of different treatment modalities and new surgical techniques may be required to improve the prognosis.
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