{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:31:20Z","timestamp":1695573080859},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:p> RATIONAL:  In the treatment of colorectal cancer, from 1982 Heald proposed standardization of the total mesorectal excision, with a significant reduction in the recurrence rate. But the treatment of lower rectal lesions is still a challenge.  AIM:  To describe the association of robotic low anterior resection- TATA (Transanal Abdominal Transanal Resection), with transanal access using Transanal Endoscopic Operations - TEO in the treatment of lower rectal cancer.  METHOD:  The TATA performs robotic abdominal approach and the TEO performs the perineal approach, developing total mesorectal excision (TME) transanally (TaETM).  RESULT:  The TaETM technique was applied in a woman with rectal adenocarcinoma 5 cm from the anal verge that had been submitted to chemoradiation. The procedure was performed with satisfatory operative time and favorable oncological outcome (grade 3 mesorectal excision).  CONCLUSION:  This is a promising minimally invasive procedure in the armamentarium of rectal cancer treatment, specially in challenging scenarios such as narrow pelvis, obesity and very low rectal tumors.<\/jats:p>","DOI":"10.1590\/s0102-67202015000200008","type":"journal-article","created":{"date-parts":[[2015,7,8]],"date-time":"2015-07-08T19:23:36Z","timestamp":1436383416000},"page":"117-120","source":"Crossref","is-referenced-by-count":4,"title":["Transanal minimally invasive surgery for total mesorectal excision (ETM) through transanal approach (TaETM) with robotic and Transanal Endoscopic Operations (TEO) combined access: step by step surgery"],"prefix":"10.1590","volume":"28","author":[{"given":"Carlos Ramon Silveira","family":"MENDES","sequence":"first","affiliation":[{"name":"Cancer National Institute,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"VALAD\u00c3O","sequence":"additional","affiliation":[{"name":"Cancer National Institute,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"ARA\u00daJO","sequence":"additional","affiliation":[{"name":"Cancer National Institute,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"LINHARES","sequence":"additional","affiliation":[{"name":"Cancer National Institute,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Paulo","family":"JESUS","sequence":"additional","affiliation":[{"name":"Cancer National Institute,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1007\/s10151-011-0762-9","article-title":"Robotic transanal minimally invasive surgery in a cadaveric model","volume":"15","author":"Atallah SB","year":"2011","journal-title":"Tech Coloproctol"},{"key":"ref2","first-page":"118","article-title":"Transanal endoscopic microsurgery: a Brazilian initial experience in provate pratice","volume":"59","author":"Araujo SEA","year":"2012","journal-title":"Hepato-Gastroenterology"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1245\/ASO.2006.05.045","article-title":"Laparoscopic versus open surgery for rectalcancer: A meta-analysis","volume":"13","author":"Aziz O","year":"2006","journal-title":"Ann Surg Oncol"},{"key":"ref4","article-title":"Transanal total mesorectal excision: a systematic review of the experimental and clinical evidence","author":"Araujo SE","year":"2014","journal-title":"TechColoproctol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1097\/SLA.0b013e3181c79990","article-title":"Laparoscopic and robotic rectal c\u00e2ncerresection: Expectations for improving oncological outcomes","volume":"251","author":"Balli C","year":"2010","journal-title":"Ann Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1089\/lap.2011.0045","article-title":"Transanal endoscopic microsurgery-based transanal acess for colorectal surgery: experience on humano cadavers","volume":"21","author":"Bhattacharjee HK","year":"2011","journal-title":"J Laparoendosc Adv Surg Tech"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1097\/SLA.0000000000000766","article-title":"Perineal Transanal Approach. 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