{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,12]],"date-time":"2026-11-12T10:26:18Z","timestamp":1794479178194,"version":"4.9.1"},"reference-count":41,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100007249","name":"University of Minnesota","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007249","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","surgjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.surg.2026.110265","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T23:28:42Z","timestamp":1776814122000},"page":"110265","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Completion of total mesorectal excision after total neoadjuvant therapy: Analysis of volume and approach in a contemporary National Cancer Database cohort"],"prefix":"10.1016","volume":"196","author":[{"given":"Keegan","family":"Guidolin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3594-0686","authenticated-orcid":false,"given":"Julia","family":"Frebault","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah L.","family":"Mott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Tran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyrus","family":"Jahansouz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Schelomo","family":"Marmor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imran","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Goffredo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2026.110265_bib1","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1002\/bjs.1800691019","article-title":"The mesorectum in rectal cancer surgery\u2014the clue to pelvic recurrence?","volume":"69","author":"Heald","year":"1982","journal-title":"J Br Surg"},{"key":"10.1016\/j.surg.2026.110265_bib2","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/S1470-2045(11)70097-3","article-title":"Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer: 12-year follow-up of the multicentre, randomised controlled TME trial","volume":"12","author":"Van Gijn","year":"2011","journal-title":"Lancet Oncol"},{"key":"10.1016\/j.surg.2026.110265_bib3","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1385\/IJGC:34:2-3:129","article-title":"Local recurrence of rectal cancer after total mesorectal excision without preoperative radiotherapy","volume":"34","author":"Van Lingen","year":"2003","journal-title":"Int J Gastrointest Cancer"},{"key":"10.1016\/j.surg.2026.110265_bib4","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1055\/s-0039-3402776","article-title":"Total mesorectal excision technique\u2014past, present, and future","volume":"33","author":"Knol","year":"2020","journal-title":"Clin Colon Rectal Surg"},{"key":"10.1016\/j.surg.2026.110265_bib5","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.1200\/JCO.2002.07.010","article-title":"Macroscopic evaluation of rectal cancer resection specimen: clinical significance of the pathologist in quality control","volume":"20","author":"Nagtegaal","year":"2002","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.surg.2026.110265_bib6","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1002\/bjs.4137","article-title":"Recurrence and survival after mesorectal excision for rectal cancer","volume":"90","author":"B\u00fclow","year":"2003","journal-title":"Br J Surg"},{"key":"10.1016\/j.surg.2026.110265_bib8","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1016\/S0140-6736(09)60485-2","article-title":"Effect of the plane of surgery achieved on local recurrence in patients with operable rectal cancer: a prospective study using data from the MRC CR07 and NCIC-CTG CO16 randomised clinical trial","volume":"373","author":"Quirke","year":"2009","journal-title":"Lancet"},{"key":"10.1016\/j.surg.2026.110265_bib9","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1007\/s10350-006-0756-2","article-title":"Mesorectal grades predict recurrences after curative resection for rectal cancer","volume":"50","author":"Maslekar","year":"2007","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.surg.2026.110265_bib10","doi-asserted-by":"crossref","DOI":"10.1001\/jamasurg.2018.1607","article-title":"Association of plane of total mesorectal excision with prognosis of rectal cancer: secondary analysis of the CAO\/ARO\/AIO-04 phase 3 randomized clinical trial","volume":"153","author":"Kitz","year":"2018","journal-title":"JAMA Surg"},{"key":"10.1016\/j.surg.2026.110265_bib11","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1007\/s00384-002-0468-6","article-title":"The pathological assessment of mesorectal excision: implications for further treatment and quality management","volume":"18","author":"Hermanek","year":"2003","journal-title":"Int J Colorectal Dis"},{"key":"10.1016\/j.surg.2026.110265_bib12","doi-asserted-by":"crossref","first-page":"3400","DOI":"10.1002\/cncr.24387","article-title":"Macroscopic assessment of mesorectal excision in rectal cancer: a useful tool for improving quality control in a multidisciplinary team","volume":"115","author":"Garc\u00eda-Granero","year":"2009","journal-title":"Cancer"},{"key":"10.1016\/j.surg.2026.110265_bib13","first-page":"264","article-title":"Quality of laparoscopic total mesorectal excision: results from a single institution in China","volume":"62","author":"Deng","year":"2015","journal-title":"Hepatogastroenterology"},{"key":"10.1016\/j.surg.2026.110265_bib14","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1111\/j.1463-1318.2007.01256.x","article-title":"Factors that influence the adequacy of total mesorectal excision for rectal cancer","volume":"9","author":"Jeyarajah","year":"2007","journal-title":"Colorectal Dis"},{"key":"10.1016\/j.surg.2026.110265_bib15","doi-asserted-by":"crossref","DOI":"10.1093\/bjsopen\/zrae071","article-title":"Total mesorectal excision quality in rectal cancer surgery affects local recurrence rate but not distant recurrence and survival: population-based cohort study","volume":"8","author":"Collin","year":"2024","journal-title":"BJS Open"},{"key":"10.1016\/j.surg.2026.110265_bib16","doi-asserted-by":"crossref","first-page":"1346","DOI":"10.1001\/jama.2015.10529","article-title":"Effect of laparoscopic-assisted resection vs open resection of stage II or III rectal cancer on pathologic outcomes: the ACOSOG Z6051 randomized clinical trial","volume":"314","author":"Fleshman","year":"2015","journal-title":"JAMA"},{"key":"10.1016\/j.surg.2026.110265_bib17","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1002\/bjs.8692","article-title":"Factors influencing the quality of total mesorectal excision","volume":"99","author":"Garlipp","year":"2012","journal-title":"Br J Surg"},{"key":"10.1016\/j.surg.2026.110265_bib18","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1097\/SLA.0b013e3181efc142","article-title":"Factors predicting the quality of total mesorectal excision for rectal cancer","volume":"252","author":"Leonard","year":"2010","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2026.110265_bib19","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/S1470-2045(10)70131-5","article-title":"Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): short-term outcomes of an open-label randomised controlled trial","volume":"11","author":"Kang","year":"2010","journal-title":"Lancet Oncol"},{"key":"10.1016\/j.surg.2026.110265_bib20","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/S1470-2045(13)70016-0","article-title":"Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial","volume":"14","author":"Van Der Pas","year":"2013","journal-title":"Lancet Oncol"},{"key":"10.1016\/j.surg.2026.110265_bib21","doi-asserted-by":"crossref","first-page":"1356","DOI":"10.1001\/jama.2015.12009","article-title":"Effect of laparoscopic-assisted resection vs open resection on pathological outcomes in rectal cancer: the ALaCaRT randomized clinical trial","volume":"314","author":"Stevenson","year":"2015","journal-title":"JAMA"},{"key":"10.1016\/j.surg.2026.110265_bib22","doi-asserted-by":"crossref","first-page":"1569","DOI":"10.1001\/jama.2017.7219","article-title":"Effect of robotic-assisted vs conventional laparoscopic surgery on risk of conversion to open laparotomy among patients undergoing resection for rectal cancer: the ROLARR randomized clinical trial","volume":"318","author":"Jayne","year":"2017","journal-title":"JAMA"},{"key":"10.1016\/j.surg.2026.110265_bib23","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1097\/00000658-200211000-00008","article-title":"Hospital and surgeon procedure volume as predictors of outcome following rectal cancer resection","volume":"236","author":"Schrag","year":"2002","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2026.110265_bib24","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.amjsurg.2023.10.028","article-title":"Trends in adoption of total neoadjuvant therapy for locally advanced rectal cancer","volume":"227","author":"Unuvar","year":"2024","journal-title":"Am J Surg"},{"key":"10.1016\/j.surg.2026.110265_bib26","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1097\/SLA.0000000000002898","article-title":"The impact of hospital volume and Charlson score on postoperative mortality of proctectomy for rectal cancer: a nationwide study of 45,569 patients","volume":"268","author":"El Amrani","year":"2018","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2026.110265_bib27","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1007\/s11605-021-05092-0","article-title":"The effect of facility volume on survival following proctectomy for rectal cancer","volume":"26","author":"Welten","year":"2022","journal-title":"J Gastrointest Surg"},{"key":"10.1016\/j.surg.2026.110265_bib28","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1002\/jso.70038","article-title":"Association between mesorectal grade and oncologic outcomes in rectal cancer: a systematic review and meta-analysis","volume":"132","author":"Rogers","year":"2025","journal-title":"J Surg Oncol"},{"key":"10.1016\/j.surg.2026.110265_bib29","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1097\/SLA.0000000000005948","article-title":"Discordance in total mesorectal excision specimen grading in a prospective phase 2 multicenter rectal cancer trial: are we overestimating the quality of our resections?","volume":"278","author":"Sylla","year":"2023","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2026.110265_bib30","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1097\/DCR.0000000000002551","article-title":"Does completeness of the mesorectal excision still correlate with local recurrence?","volume":"66","author":"Garoufalia","year":"2023","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.surg.2026.110265_bib31","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1056\/NEJMoa010580","article-title":"Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer","volume":"345","author":"Kapiteijn","year":"2001","journal-title":"N Engl J Med"},{"key":"10.1016\/j.surg.2026.110265_bib32","doi-asserted-by":"crossref","first-page":"1718","DOI":"10.1016\/S0140-6736(05)66545-2","article-title":"Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial","volume":"365","author":"Guillou","year":"2005","journal-title":"Lancet"},{"key":"10.1016\/j.surg.2026.110265_bib33","doi-asserted-by":"crossref","first-page":"3061","DOI":"10.1200\/JCO.2006.09.7758","article-title":"Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC trial group","volume":"25","author":"Jayne","year":"2007","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.surg.2026.110265_bib34","first-page":"573","article-title":"Laparoscopic versus open total mesorectal excision for the middle-lower rectal cancer: a clinical comparative study","volume":"12","author":"Yu","year":"2009","journal-title":"Zhonghua Wei Chang Wai Ke Za Zhi Chin J Gastrointest Surg"},{"key":"10.1016\/j.surg.2026.110265_bib35","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1016\/S2468-1253(22)00248-5","article-title":"Robotic versus laparoscopic surgery for middle and low rectal cancer (REAL): short-term outcomes of a multicentre randomised controlled trial","volume":"7","author":"Feng","year":"2022","journal-title":"Lancet Gastroenterol Hepatol"},{"key":"10.1016\/j.surg.2026.110265_bib36","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1055\/s-0035-1545069","article-title":"Pathologic processing of the total mesorectal excision","volume":"28","author":"Campa-Thompson","year":"2015","journal-title":"Clin Colon Rectal Surg"},{"key":"10.1016\/j.surg.2026.110265_bib38","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1002\/jso.27214","article-title":"Comparison of surgeon and pathologist total mesorectal excision grade after rectal cancer resection: a single institution analysis","volume":"127","author":"Kato","year":"2023","journal-title":"J Surg Oncol"},{"key":"10.1016\/j.surg.2026.110265_bib39","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1177\/000313480907500107","article-title":"Laparoscopic versus open total mesorectal excision: a nonrandomized comparative prospective trial in a tertiary center in Mexico City","volume":"75","author":"Gonz\u00e1lez","year":"2009","journal-title":"Am Surg"},{"key":"10.1016\/j.surg.2026.110265_bib40","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/j.surg.2015.09.021","article-title":"High volume improves outcomes: the argument for centralization of rectal cancer surgery","volume":"159","author":"Aquina","year":"2016","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2026.110265_bib41","doi-asserted-by":"crossref","first-page":"1572","DOI":"10.1002\/bjs.7157","article-title":"Sphincter preservation in rectal cancer is associated with patients\u2019 socioeconomic status","volume":"97","author":"Olsson","year":"2010","journal-title":"Br J Surg"},{"key":"10.1016\/j.surg.2026.110265_bib42","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1016\/j.surg.2022.02.006","article-title":"The effect of the first year of the COVID-19 pandemic on sphincter preserving surgery for rectal cancer: a single referral center experience","volume":"171","author":"Freund","year":"2022","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2026.110265_bib43","doi-asserted-by":"crossref","first-page":"3895","DOI":"10.1200\/JCO.2001.19.18.3895","article-title":"Impact of surgical and pathologic variables in rectal cancer: a United States Community and Cooperative Group report","volume":"19","author":"Stocchi","year":"2001","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.surg.2026.110265_bib44","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1016\/j.cgh.2008.05.023","article-title":"The effect of hospital and surgeon volume on outcomes for rectal cancer surgery","volume":"6","author":"Salz","year":"2008","journal-title":"Clin Gastroenterol Hepatol"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S003960602600190X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S003960602600190X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,12]],"date-time":"2026-11-12T09:37:40Z","timestamp":1794476260000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S003960602600190X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":41,"alternative-id":["S003960602600190X"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2026.110265","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Completion of total mesorectal excision after total neoadjuvant therapy: Analysis of volume and approach in a contemporary National Cancer Database cohort","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2026.110265","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"110265"}}