{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T23:29:10Z","timestamp":1768260550729,"version":"3.49.0"},"reference-count":15,"publisher":"Ordem dos Medicos","issue":"7-8","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Introdu\u00e7\u00e3o: A utiliza\u00e7\u00e3o da cirurgia minimamente invasiva no tratamento da patologia colorretal \u00e9 hoje cientificamente aceite e o seu uso na pr\u00e1tica cl\u00ed- nica di\u00e1ria tem vindo a aumentar de forma sustentada. Diversos estudos indicam que a abordagem rob\u00f3tica pode trazer vantagens sobre a laparoscopia \u2018convencional\u2019, especialmente na cirurgia do reto. Este trabalho descreve e analisa os resultados dos primeiros tr\u00eas anos de cirurgia rob\u00f3tica na Unidade de Patologia Colorretal da Unidade Local de Sa\u00fade S. Jos\u00e9. M\u00e9todos: Foram definidas as vari\u00e1veis a analisar e constru\u00edda uma base de dados prospetiva com os dados referentes aos doentes operados conse- cutivamente por tr\u00eas cirurgi\u00f5es colorretais, acreditados internacionalmente na utiliza\u00e7\u00e3o do sistema Da Vinci Xi\u00ae, entre novembro de 2019 e outubro de 2022. A base de dados foi convertida numa vers\u00e3o anonimizada e foi sobre essa mesma que se procedeu \u00e0 an\u00e1lise de dados. Foram analisados os dados de todos doentes operados nesse per\u00edodo. Resultados: Foram inclu\u00eddos 80 doentes, 47 homens, mediana de idade de 70 anos e de IMC de 26 kg\/m2 . O score ASA era II em 53,7% e III em 41,3% dos doentes. Do total, 97,6% apresentavam doen\u00e7a maligna ou potencialmente maligna. Realizaram-se 34 colectomias proximais ao \u00e2ngulo espl\u00e9nico, 20 distais e 26 ressec\u00e7\u00f5es anteriores do reto. Houve ressec\u00e7\u00e3o s\u00edncrona de met\u00e1stases hep\u00e1ticas em dois casos. Foram analisados os resultados peri-operat\u00f3rios a curto prazo e histopatol\u00f3gicos: dura\u00e7\u00e3o (mediana): 300 minutos; perda hem\u00e1tica estimada (mediana): 50 mL; taxa de convers\u00e3o: 2,5%; dias at\u00e9 retomar tr\u00e2nsito intestinal (mediana): tr\u00eas dias; dias de internamento (mediana): seis dias; taxa de complica\u00e7\u00f5es p\u00f3s-operat\u00f3rias: 20%, das quais 5% Clavien III e 0% Clavien IV\/V; taxa de deisc\u00eancia anastom\u00f3tica: 2,5%; taxa de reinterven\u00e7\u00e3o: 2,5%; taxa de readmiss\u00e3o p\u00f3s-alta: 1,3%; g\u00e2nglios linf\u00e1ticos ressecados (mediana): 20; taxa de ressec\u00e7\u00e3o R0: 100%; taxa de integridade mesorretal: 95,8% completo\/quase completo. Conclus\u00e3o: Os nossos resultados mostram que a introdu\u00e7\u00e3o da cirurgia colorretal rob\u00f3tica no nosso centro foi segura e garantiu resultados cl\u00ednicos a curto prazo e histopatol\u00f3gicos semelhantes ou favor\u00e1veis face aos descritos na literatura.<\/jats:p>","DOI":"10.20344\/amp.20204","type":"journal-article","created":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T12:31:01Z","timestamp":1719837061000},"page":"535-540","source":"Crossref","is-referenced-by-count":2,"title":["Cirurgia Rob\u00f3tica em Patologia Colorretal: An\u00e1lise dos Primeiros Tr\u00eas Anos de Atividade num Hospital do Servi\u00e7o Nacional de Sa\u00fade em Portugal"],"prefix":"10.20344","volume":"37","author":[{"given":"Diogo","family":"Carrola Gomes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"Athayde Nem\u00e9sio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susana","family":"Rodrigues","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Penedo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Paix\u00e3o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8464","published-online":{"date-parts":[[2024,7,1]]},"reference":[{"key":"6260","doi-asserted-by":"crossref","unstructured":"Blackmore AE, Wong MT, Tang CL. 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