{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:26:39Z","timestamp":1786976799030,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Annals of Gastroent Surgery"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Minimally invasive total mesorectal excision is widely used in rectal cancer surgery because of its better surgical field\u2010of\u2010view and recognition of microanatomy, compared with open surgery; however, it remains difficult to perform deep pelvic manipulation. Transanal total mesorectal excision (TaTME) is expected to overcome these difficulties, especially in two\u2010team surgeries with simultaneous abdominal and transanal approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected from patients with rectal cancer who underwent TaTME between January 2012 and December 2019 at 26 specialized rectal cancer institutions in Japan. Patients in the two\u2010team surgery group were propensity score\u2010matched in a 2:1 ratio to those in the one\u2010team surgery group. Surgical outcomes, postoperative complications, transanal approach\u2010related outcomes, and survival rates were compared between the two surgical groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 444 patients (296 and 148 in the two\u2010 and one\u2010team surgery groups, respectively) were included in the analyses. The median operation time was significantly shorter (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), the median estimated blood loss (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and positive distal margin rates (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.020) were significantly lower, the number of lymph nodes dissected was significantly higher (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011) in the two\u2010team surgery group versus the one\u2010team surgery group. The two groups did not differ in postoperative complications. The 5\u2010year relapse\u2010free survival rate was slightly higher in the two\u2010team surgery group than in the one\u2010team surgery group, although there was not statistically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.244).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Two\u2010team surgery has advantages of shorter operation time, decreased estimated blood loss, increased number of lymph nodes dissected and decreased positive distal margin rates and potential to decrease recurrence rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ags3.70152","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T08:49:11Z","timestamp":1766393351000},"page":"739-747","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Two\u2010Team Surgery on Short\u2010 and Long\u2010Term Outcomes of Transanal Total Mesorectal Excision for Rectal Cancer"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7171-8971","authenticated-orcid":false,"given":"Nobuaki","family":"Hoshino","sequence":"first","affiliation":[{"name":"Department of Surgery Kyoto University Graduate School of Medicine  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7210-7075","authenticated-orcid":false,"given":"Koya","family":"Hida","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyoto University Graduate School of Medicine  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukinari","family":"Tokoro","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyoto University Graduate School of Medicine  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2924-6701","authenticated-orcid":false,"given":"Kazutaka","family":"Obama","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyoto University Graduate School of Medicine  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9541-856X","authenticated-orcid":false,"given":"Takeru","family":"Matsuda","sequence":"additional","affiliation":[{"name":"Division of Gastrointestinal Surgery, Department of Surgery Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ichiro","family":"Takemasa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Osaka International Medical and Science Center Osaka Keisatsu Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0722-0343","authenticated-orcid":false,"given":"Tomonori","family":"Akagi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and Pediatric Surgery Oita University  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masafumi","family":"Inomata","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and Pediatric Surgery Oita University  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigenori","family":"Homma","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery I, Graduate School of Medicine Hokkaido University  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuki","family":"Ichikawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery I, Graduate School of Medicine Hokkaido University  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2727-0241","authenticated-orcid":false,"given":"Yoshihiro","family":"Kakeji","sequence":"additional","affiliation":[{"name":"Division of Gastrointestinal Surgery, Department of Surgery Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9879-1239","authenticated-orcid":false,"given":"Seiichiro","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Tokai University School of Medicine  Isehara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4169-6334","authenticated-orcid":false,"given":"Takeshi","family":"Naitoh","sequence":"additional","affiliation":[{"name":"Department of Lower Gastrointestinal Surgery Kitasato University School of Medicine  Sagamihara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Ta\u2010Ta\u2010Mi study group collaboratives in Japan Society of Laparoscopic Colorectal Surgery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/014107688808100904"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ags3.12853"},{"key":"e_1_2_10_4_1","first-page":"17","article-title":"Minimally Invasive Surgery for Colorectal Cancer","volume":"4","author":"Yamauchi S.","year":"2021","journal-title":"JMA Journal"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-08251-7"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181612c6a"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000865"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000994"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1606111"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-0965-6"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-2872-0"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e3182756fa0"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-015-4997-y"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/AS9.0000000000000369"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5990-2"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15147"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.14464"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.23922\/jarc.2023-027"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.3393\/ac.2024.00178.0025"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-10934-4"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13216403"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-024-02947-x"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16982"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/14574969241271784"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2024.109559"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4615-x"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003537"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-019-07167-1"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005523"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znac324"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-023-10266-9"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15041190"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.13134"}],"container-title":["Annals of Gastroenterological Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ags3.70152","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ags3.70152","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ags3.70152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T14:03:39Z","timestamp":1778853819000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ags3.70152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,22]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/ags3.70152"],"URL":"https:\/\/doi.org\/10.1002\/ags3.70152","archive":["Portico"],"relation":{},"ISSN":["2475-0328","2475-0328"],"issn-type":[{"value":"2475-0328","type":"print"},{"value":"2475-0328","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,22]]},"assertion":[{"value":"2025-07-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}