{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T03:33:46Z","timestamp":1648870426514},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>RACIONAL: A ressec\u00e7\u00e3o cir\u00fargica \u00e9 o principal elemento do tratamento do c\u00e2ncer colorretal com inten\u00e7\u00e3o curativa. OBJETIVO: Analisar os resultados p\u00f3s-operat\u00f3rios de ressec\u00e7\u00f5es colorretais laparot\u00f4micas e videolaparosc\u00f3picas por c\u00e2ncer colorretal. M\u00c9TODOS: Estudo retrospectivo de uma s\u00e9rie de 189 pacientes operados. As vari\u00e1veis descritivas foram idade e g\u00eanero, e as de desfecho foram tipo de ressec\u00e7\u00e3o, n\u00famero de linfonodos ressecados, margens, necessidade de ostomia, complica\u00e7\u00f5es, tempo operat\u00f3rio e tempo de interna\u00e7\u00e3o. Elas foram analisadas por meio dos testes do Qui-quadrado, t de student e Mann-Whitney, com n\u00edvel de signific\u00e2ncia &lt;0,05. RESULTADOS: Dos 189 pacientes operados, 110 preencheram os crit\u00e9rios de inclus\u00e3o, sendo 75 (68,2%) operados por cirurgia aberta e 35 (31,8%) por via videolaparosc\u00f3pica. O c\u00f3lon sigm\u00f3ide foi o local mais comum de apresenta\u00e7\u00e3o da neoplasia e a retossigmoidectomia foi a ressec\u00e7\u00e3o colorretal mais realizada, e mais por via aberta (p=0,042). A taxa de convers\u00e3o foi de 7,9% (3\/38). Os pacientes operados por via aberta apresentaram em 81,5% tempo operat\u00f3rio inferior a 180 minutos (p&lt;0,001). Em ambas as vias, o n\u00famero m\u00e9dio de linfonodos ressecados foi maior que 12, por\u00e9m a t\u00e9cnica laparot\u00f4mica permitiu, com maior frequ\u00eancia, a ressec\u00e7\u00e3o de 12 ou mais linfonodos (p=0,012). Nenhum paciente apresentou margem cir\u00fargica comprometida, mas a laparotomia permitiu um maior n\u00famero de pacientes com margem maior que 5 cm em rela\u00e7\u00e3o ao tumor (p=0,036). Maior n\u00famero de pacientes tratados por via aberta esteve internado por tempo superior a sete dias (p&lt;0,001). N\u00e3o foram encontradas diferen\u00e7as estatisticamente significantes quanto \u00e0 necessidade de ostomias, complica\u00e7\u00f5es e mortalidade hospitalar. CONCLUS\u00d5ES: A abordagem videolaparosc\u00f3pica foi t\u00e3o segura e eficaz quanto a laparot\u00f4mica no tratamento do c\u00e2ncer colorretal, e esteve associada a maior tempo operat\u00f3rio, a menor tempo de hospitaliza\u00e7\u00e3o e a relativa menor morbidade.<\/jats:p>","DOI":"10.1590\/s0102-67202012000200004","type":"journal-article","created":{"date-parts":[[2013,2,2]],"date-time":"2013-02-02T11:14:04Z","timestamp":1359803644000},"page":"81-87","source":"Crossref","is-referenced-by-count":4,"title":["Ressec\u00e7\u00f5es colorretais laparosc\u00f3picas e laparot\u00f4micas no c\u00e2ncer colorretal"],"prefix":"10.1590","volume":"25","author":[{"given":"D\u00e2mia Leal","family":"Vendramini","sequence":"first","affiliation":[{"name":"Universidade do Sul de Santa Catarina, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maur\u00edcio Mendes de","family":"Albuquerque","sequence":"additional","affiliation":[{"name":"Imperial Hospital de Caridade; Universidade do Sul de Santa Catarina, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo Miguel","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Imperial Hospital de Caridade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9den Edimur","family":"Rossi-Junior","sequence":"additional","affiliation":[{"name":"Imperial Hospital de Caridade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wilmar de Athayde","family":"Gerent","sequence":"additional","affiliation":[{"name":"Imperial Hospital de Caridade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viriato Jo\u00e3o Leal da","family":"Cunha","sequence":"additional","affiliation":[{"name":"Imperial Hospital de Caridade"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1002\/bjs.4640","article-title":"Meta-analysis of short-term 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