{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:00:14Z","timestamp":1753887614979,"version":"3.41.2"},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"5","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo: avaliar os resultados perioperat\u00f3rios e p\u00f3s-operat\u00f3rios relacionados \u00e0 excis\u00e3o total do mesorreto transanal, bem como, qualidade dos esp\u00e9cimes obtidos pela excis\u00e3o total do mesorreto transanal atrav\u00e9s da an\u00e1lise histopatol\u00f3gica da qualidade do mesorreto, acometimento das margens proximal e distal e positividade da margem circunferencial.  M\u00e9todos: estudo prospectivo, descritivo, em pacientes consecutivos portadores de adenocarcinoma de reto localizados at\u00e9 10cm da borda anal, sem met\u00e1stase \u00e0 dist\u00e2ncia, submetidos ou n\u00e3o \u00e0 quimioterapia e radioterapia neoadjuvantes. Foram avaliados a presen\u00e7a de dificuldades t\u00e9cnicas, \u00edndice de convers\u00e3o para via abdominal, tempo cir\u00fargico e intercorr\u00eancias intra e p\u00f3s-operat\u00f3rias. A qualidade do mesorreto foi classificada em ressec\u00e7\u00e3o completa, parcialmente completa ou incompleta.  Resultados: entre dezembro de 2016 e maio de 2019, 41 pacientes foram submetidos \u00e0 excis\u00e3o total do mesorreto transanal, dos quais 75% foram classificados como est\u00e1gio cl\u00ednico III, 13% est\u00e1gio cl\u00ednico II e 12% est\u00e1gio cl\u00ednico I. A m\u00e9dia de dist\u00e2ncia entre borda anal e borda inferior do tumor foi de 6,2cm. Quarenta por cento dos tumores encontravam-se na parede retal anterior e 17% foram classificados como circunferenciais. A m\u00e9dia de tempo operat\u00f3rio foi de 189 minutos. A m\u00e9dia de interna\u00e7\u00e3o hospitalar foi de 4,6 dias. N\u00e3o houve \u00f3bitos intra-hospitalares. Oitenta e dois por cento dos esp\u00e9cimes foram classificados como ressec\u00e7\u00e3o completa.  Conclus\u00e3o: a excis\u00e3o total do mesorreto transanal demonstra adequada qualidade do mesorreto e adequadas margens cir\u00fargicas, estando associada a baixos \u00edndices de complica\u00e7\u00f5es perioperat\u00f3rias, tempo cir\u00fargico aceit\u00e1vel e curto tempo de hospitaliza\u00e7\u00e3o.<\/jats:p>","DOI":"10.1590\/0100-6991e-20192276","type":"journal-article","created":{"date-parts":[[2019,11,23]],"date-time":"2019-11-23T19:31:17Z","timestamp":1574537477000},"source":"Crossref","is-referenced-by-count":0,"title":["Excis\u00e3o total de mesorreto transanal combinada \u00e0 dissec\u00e7\u00e3o laparosc\u00f3pica: resultados perioperat\u00f3rios e avalia\u00e7\u00e3o da qualidade do mesorreto"],"prefix":"10.1590","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6340-932X","authenticated-orcid":false,"given":"Marllus Braga","family":"Soares","sequence":"first","affiliation":[{"name":"Hospital S\u00e3o Jos\u00e9 do Ava\u00ed,  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Med"},{"issue":"8","key":"ref5","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1001\/archsurg.133.8.894","article-title":"Rectal cancer: the Basingstoke experience of total mesorectal excision, 1978-1997","volume":"133","author":"Heald RJ","year":"1998","journal-title":"Arch Surg"},{"issue":"7572","key":"ref6","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1136\/bmj.38937.646400.55","article-title":"Diagnostic accuracy of preoperative magnetic imaging in predicting curative resection of rectal cancer: prospective observational study","volume":"333","year":"2006","journal-title":"BMJ"},{"issue":"3","key":"ref7","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 MH","year":"2013","journal-title":"Lancet 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