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dc.contributor.authorLeão, P.por
dc.contributor.authorGoulart, A.por
dc.contributor.authorVeiga, C.por
dc.contributor.authorCristino, H.por
dc.contributor.authorMarcos, N.por
dc.contributor.authorCorreia-Pinto, Jorgepor
dc.contributor.authorRodrigues, M.por
dc.contributor.authorMoreno-Sanz, C.por
dc.identifier.citationLeao, P., Goulart, A., Veiga, C., Cristino, H., Marcos, N., Correia-Pinto, J., . . . Moreno-Sanz, C. (2015). Transanal total mesorectal excision: a pure NOTES approach for selected patients. Techniques in Coloproctology, 19(9), 541-549. doi: 10.1007/s10151-015-1343-0por
dc.description.abstractBackground: The concept of natural orifice transluminal endoscopic surgery (NOTES) has stimulated the development of various “incisionless” procedures. One of the most popular is the transanal approach for rectal lesions. The aims of this study were to report how we standardized NOTES technique for transanal mesorectal excision without abdominal assistance, discuss the difficulties and surgical outcomes of this technique and report its feasibility in a small group of selected patients. Methods: Three consecutive female patients underwent transanal NOTES rectal resection without transabdominal laparoscopic assistance for rectal lesions. Functional results were assessed with the Fecal Incontinence Quality of Life scale and the Wexner score. Results: The technical steps are described in details and complemented with a video. All procedures were completed without transabdominal laparoscopic help. The mesorectal plane was entirely dissected without any disruption, and distal and circumferential margins were tumor-free. No major complications were observed. Functional results show a significant impairment after surgery with improvement at 6 months to levels near those of the preoperative period. Conclusions: The performance and publication of NOTES procedures are subject to much discussion. Despite the small number of patients, this procedure appears feasible and can be accomplished maintaining fecal continence and respecting oncologic principles.por
dc.publisherSpringer Verlagpor
dc.subjectRectal cancerpor
dc.subjectLaparoscopic colorectal surgerypor
dc.subjectTransanal resectionpor
dc.titleTransanal total mesorectal excision: a pure NOTES approach for selected patientspor
oaire.citationTitleTechniques in Coloproctologypor
dc.subject.fosCiências Médicas::Ciências da Saúdepor
dc.subject.wosScience & Technologypor
sdum.journalTechniques in Coloproctologypor
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