Tansanal total mesorectal excision (TaTME): systematization and mediated results in 10 patients

Detalhes bibliográficos
Autor(a) principal: Neiva,Guilherme Inácio Bertoldo de Melo e Patriarca da Silva
Data de Publicação: 2020
Outros Autores: Soares,Fábio Alves, Silva,Silvana Marques e, Viana,Pedro Wilson Diniz, Araújo Neto,Mário Nóbrega de, Oliveira,Olane Marquez de, Nascimento,Mauricio Cotrim
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632020000100050
Resumo: Abstract Background Transanal total mesorectal excision is a surgical technique for minimally invasive resection of the rectum and perirectal tissues. It is indicated for patients with medial and distal rectum cancer confined to the mesorectal envelope. This study describes a series of patients undergoing transanal total mesorectal excision. Methods Ten patients were selected to undergo transanal total mesorectal excision using the SILS-Port® platform. All patients included here had middle or low rectal cancer. Abdominal access for proximal colon mobilization was performed by laparoscopy in all cases. As a rule, in 9 of the 10 cases, the surgical specimen was removed transanally. Results During a 41-month period, 10 patients underwent transanal total mesorectal excision based on curative intent. The first indication for transanal total mesorectum excision was medial and distal rectal cancer, locally invasive and confined to the mesortal envelope. The median age of patients with rectal cancer at the time of surgery was 61 years (mean 59.4 years, range 22–78 years), with 80% (8) female and 20% (2) male. The median surgical time was 305′ (mean 314′, range 260‒420′). The median postoperative length of stay was five days (average of 7.3 days, interval of 3–23 days). There was no postoperative mortality. Surgical complications included postoperative ileus (n = 1), bladder paresis (n = 1), and ileostomy stenosis (n = 1). All patients had negative surgical margins for neoplasia and more than 12 resected lymph nodes. The tumors were between 1 and 9 cm from the anal margin. Conclusion Total transanal mesorectal excision has been shown to be a viable method for oncologic resection of locally advanced rectal cancer with curative intent.
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spelling Tansanal total mesorectal excision (TaTME): systematization and mediated results in 10 patientsTaTMETotal mesorectal excisionRectal cancerColorectal surgeryTransanal surgeryAbstract Background Transanal total mesorectal excision is a surgical technique for minimally invasive resection of the rectum and perirectal tissues. It is indicated for patients with medial and distal rectum cancer confined to the mesorectal envelope. This study describes a series of patients undergoing transanal total mesorectal excision. Methods Ten patients were selected to undergo transanal total mesorectal excision using the SILS-Port® platform. All patients included here had middle or low rectal cancer. Abdominal access for proximal colon mobilization was performed by laparoscopy in all cases. As a rule, in 9 of the 10 cases, the surgical specimen was removed transanally. Results During a 41-month period, 10 patients underwent transanal total mesorectal excision based on curative intent. The first indication for transanal total mesorectum excision was medial and distal rectal cancer, locally invasive and confined to the mesortal envelope. The median age of patients with rectal cancer at the time of surgery was 61 years (mean 59.4 years, range 22–78 years), with 80% (8) female and 20% (2) male. The median surgical time was 305′ (mean 314′, range 260‒420′). The median postoperative length of stay was five days (average of 7.3 days, interval of 3–23 days). There was no postoperative mortality. Surgical complications included postoperative ileus (n = 1), bladder paresis (n = 1), and ileostomy stenosis (n = 1). All patients had negative surgical margins for neoplasia and more than 12 resected lymph nodes. The tumors were between 1 and 9 cm from the anal margin. Conclusion Total transanal mesorectal excision has been shown to be a viable method for oncologic resection of locally advanced rectal cancer with curative intent.Sociedade Brasileira de Coloproctologia2020-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632020000100050Journal of Coloproctology (Rio de Janeiro) v.40 n.1 2020reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1016/j.jcol.2019.09.004info:eu-repo/semantics/openAccessNeiva,Guilherme Inácio Bertoldo de Melo e Patriarca da SilvaSoares,Fábio AlvesSilva,Silvana Marques eViana,Pedro Wilson DinizAraújo Neto,Mário Nóbrega deOliveira,Olane Marquez deNascimento,Mauricio Cotrimeng2020-03-19T00:00:00Zoai:scielo:S2237-93632020000100050Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2020-03-19T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false
dc.title.none.fl_str_mv Tansanal total mesorectal excision (TaTME): systematization and mediated results in 10 patients
title Tansanal total mesorectal excision (TaTME): systematization and mediated results in 10 patients
spellingShingle Tansanal total mesorectal excision (TaTME): systematization and mediated results in 10 patients
Neiva,Guilherme Inácio Bertoldo de Melo e Patriarca da Silva
TaTME
Total mesorectal excision
Rectal cancer
Colorectal surgery
Transanal surgery
title_short Tansanal total mesorectal excision (TaTME): systematization and mediated results in 10 patients
title_full Tansanal total mesorectal excision (TaTME): systematization and mediated results in 10 patients
title_fullStr Tansanal total mesorectal excision (TaTME): systematization and mediated results in 10 patients
title_full_unstemmed Tansanal total mesorectal excision (TaTME): systematization and mediated results in 10 patients
title_sort Tansanal total mesorectal excision (TaTME): systematization and mediated results in 10 patients
author Neiva,Guilherme Inácio Bertoldo de Melo e Patriarca da Silva
author_facet Neiva,Guilherme Inácio Bertoldo de Melo e Patriarca da Silva
Soares,Fábio Alves
Silva,Silvana Marques e
Viana,Pedro Wilson Diniz
Araújo Neto,Mário Nóbrega de
Oliveira,Olane Marquez de
Nascimento,Mauricio Cotrim
author_role author
author2 Soares,Fábio Alves
Silva,Silvana Marques e
Viana,Pedro Wilson Diniz
Araújo Neto,Mário Nóbrega de
Oliveira,Olane Marquez de
Nascimento,Mauricio Cotrim
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Neiva,Guilherme Inácio Bertoldo de Melo e Patriarca da Silva
Soares,Fábio Alves
Silva,Silvana Marques e
Viana,Pedro Wilson Diniz
Araújo Neto,Mário Nóbrega de
Oliveira,Olane Marquez de
Nascimento,Mauricio Cotrim
dc.subject.por.fl_str_mv TaTME
Total mesorectal excision
Rectal cancer
Colorectal surgery
Transanal surgery
topic TaTME
Total mesorectal excision
Rectal cancer
Colorectal surgery
Transanal surgery
description Abstract Background Transanal total mesorectal excision is a surgical technique for minimally invasive resection of the rectum and perirectal tissues. It is indicated for patients with medial and distal rectum cancer confined to the mesorectal envelope. This study describes a series of patients undergoing transanal total mesorectal excision. Methods Ten patients were selected to undergo transanal total mesorectal excision using the SILS-Port® platform. All patients included here had middle or low rectal cancer. Abdominal access for proximal colon mobilization was performed by laparoscopy in all cases. As a rule, in 9 of the 10 cases, the surgical specimen was removed transanally. Results During a 41-month period, 10 patients underwent transanal total mesorectal excision based on curative intent. The first indication for transanal total mesorectum excision was medial and distal rectal cancer, locally invasive and confined to the mesortal envelope. The median age of patients with rectal cancer at the time of surgery was 61 years (mean 59.4 years, range 22–78 years), with 80% (8) female and 20% (2) male. The median surgical time was 305′ (mean 314′, range 260‒420′). The median postoperative length of stay was five days (average of 7.3 days, interval of 3–23 days). There was no postoperative mortality. Surgical complications included postoperative ileus (n = 1), bladder paresis (n = 1), and ileostomy stenosis (n = 1). All patients had negative surgical margins for neoplasia and more than 12 resected lymph nodes. The tumors were between 1 and 9 cm from the anal margin. Conclusion Total transanal mesorectal excision has been shown to be a viable method for oncologic resection of locally advanced rectal cancer with curative intent.
publishDate 2020
dc.date.none.fl_str_mv 2020-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632020000100050
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.jcol.2019.09.004
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
dc.source.none.fl_str_mv Journal of Coloproctology (Rio de Janeiro) v.40 n.1 2020
reponame:Journal of Coloproctology (Rio de Janeiro. Online)
instname:Sociedade Brasileira de Coloproctologia (SBCP)
instacron:SBCP
instname_str Sociedade Brasileira de Coloproctologia (SBCP)
instacron_str SBCP
institution SBCP
reponame_str Journal of Coloproctology (Rio de Janeiro. Online)
collection Journal of Coloproctology (Rio de Janeiro. Online)
repository.name.fl_str_mv Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)
repository.mail.fl_str_mv ||sbcp@sbcp.org.br
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