{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:48:03Z","timestamp":1792154883476,"version":"4.4.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":267,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Transanal total mesorectal excision (TaTME) has been introduced to facilitate distal rectal dissection; however, concerns regarding its oncological safety persist. This study evaluated the outcomes of TaTME in a real\u2010world setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 2019 and 2025, 123 patients underwent TaTME at our institution. After excluding patients with pathologically confirmed Stage IV disease, combined resection of adjacent organs, and local recurrence, 100 patients were retrospectively analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Median age was 67\u2009years, and 64% were male. Median tumor distance from the anal verge was 6\u2009cm. Procedures included low or ultra\u2010low anterior resection (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200967), intersphincteric resection (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200921), abdominoperineal resection (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911), and Hartmann's procedure (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091). A simultaneous two\u2010team approach, consisting of a surgeon and a camera assistant for each phase, was used in 98 patients. The median operative time and blood loss were 211.5\u2009min and 5\u2009mL, respectively. Median postoperative hospital stay was 15\u2009days. Clavien\u2013Dindo grade\u2265IIIa complications occurred in 12 patients, and no 90\u2010day mortality was observed. A positive circumferential resection margin was observed in one patient (1%). Median follow\u2010up was 1126\u2009days. Recurrence occurred in 17 patients (17%), including pelvic local recurrence in four patients (4%). The estimated 3\u2010year overall survival (OS) rates for pathological Stages 0, I, II, and III were 100%, 100%, 90.0%, and 92.6%, respectively. The estimated 3\u2010year recurrence\u2010free survival (RFS) rates were 100%, 91.6%, 77.4%, and 66.6%, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TaTME was associated with acceptable perioperative and oncological outcomes in a community hospital setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70385","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:35:16Z","timestamp":1790397316000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Short\u2010 and Long\u2010Term Outcomes of Transanal Total Mesorectal Excision for Rectal Cancer: A Single\u2010Center Retrospective Study of 100 Patients"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6931-9664","authenticated-orcid":false,"given":"Mamoru","family":"Miyasaka","sequence":"first","affiliation":[{"name":"Department of Surgery Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Teramura","sequence":"additional","affiliation":[{"name":"Department of Surgery Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yume","family":"Okuda","sequence":"additional","affiliation":[{"name":"Department of Surgery Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9994-1975","authenticated-orcid":false,"given":"Yuki","family":"Okawa","sequence":"additional","affiliation":[{"name":"Department of Surgery Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9927-5028","authenticated-orcid":false,"given":"Sho","family":"Sekiya","sequence":"additional","affiliation":[{"name":"Department of Surgery Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshihiro","family":"Kushibiki","sequence":"additional","affiliation":[{"name":"Department of Surgery Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Saikawa","sequence":"additional","affiliation":[{"name":"Department of Surgery Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Surgery Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yo","family":"Kawarada","sequence":"additional","affiliation":[{"name":"Department of Surgery Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7317-8067","authenticated-orcid":false,"given":"Yuma","family":"Ebihara","sequence":"additional","affiliation":[{"name":"Department of Surgery Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuji","family":"Kitashiro","sequence":"additional","affiliation":[{"name":"Department of Surgery Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunichi","family":"Okushiba","sequence":"additional","affiliation":[{"name":"Department of Surgery Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Hirano","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery II Hokkaido University Faculty of Medicine  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800691019"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-0965-6"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001948"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11459"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11525"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15147"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-025-12427-4"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005523"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.24276"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003757"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/jmas.jmas_191_23"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002110"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2021.7012"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2018.12.016"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/AS9.0000000000000369"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-019-02094-8"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15722"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70385","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70385","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70385","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:57:39Z","timestamp":1792151859000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70385"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ases.70385"],"URL":"https:\/\/doi.org\/10.1111\/ases.70385","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-06-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70385"}}