ABSTRACT Introduction The optimal rectal cancer care is achieved by a multidisciplinary approach, with a high-quality surgical resection, with complete mesorectal excision and adequate margins. New approaches like the transanal total mesorectal excision (TaTME) aim to achieve these goals, maximizing the sphincter preservation ratio, with good oncologic and functional results. This report describes a way to implement TaTME without a proctor, presents the first case series of this approach in a center experienced in rectal cancer, and compares the results with those of the international literature. Methods We performed a retrospective study of the first 10 consecutive patients submitted to TaTME for rectal cancer at our institution. The primary outcomes were postoperative complications, pathological specimen quality and local recurrence rate. The results and performance were compared with the outcomes of a known structured program with proctorship and with the largest meta-analysis on this topic. Results All patients had locally advanced cancer; therefore, all underwent neoadjuvant therapy. A total of 30% had postoperative complications, without mortality or re-admissions. In comparison with the structured training program referred, no differences were found in postoperative complications and reintervention rates, resulting in a similar quality of resection. Comparing these results with those of the largest meta-analysis on the subject, no differences in the postoperative complication rates were found, and very similar outcomes regarding anastomotic leaks and oncological quality of resection were registered. Conclusion The results of this study validate the safety and effectiveness of our pathway regarding the implementation of the TaTME approach, highlighting the fact that it should be done in a center with proficiency in minimally invasive rectal surgery.

Resumo A existência de um podcast diário trouxe à redação do jornal Público um espaço complementar onde os jornalistas podem aprofundar as suas histórias através do áudio. Entre 9 de Abril de 2019 e 17 de Julho de 2020, o jornal produziu 300 episódios do podcast intitulado P24, destacando-se os temas ligados às secções de internacional (conhecida no jornal como “mundo”), política e sociedade. Neste artigo analisamos os conteúdos produzidos neste universo temporal e a evolução da sua audiência, temáticas e protagonistas. Este podcast, lançado inicialmente com financiamento do fundo Digital News Innovation Fund da Google, abriu também espaço para a criação de uma estratégia de podcasting no jornal. Ainda assim, os dados sugerem que o áudio continua a ser um parente pobre dentro do espaço dos jornais online (Reis, 2018).

Abstract The existence of a daily podcast brought to the newsroom of Público newspaper a complementary space where journalists can deepen their stories through audio. Between April 9, 2019 and July 17, 2020, the newspaper produced 300 episodes of the P24 podcast, highlighting themes related to the sections of international, politics and society. In this article we analyze the content produced and the evolution of its audience, themes and protagonists. This podcast, initially launched with funding from Google Digital News Innovation Fund, also opened space for the creation of a podcasting strategy in the newspaper. Still, data suggests that audio remains a poor relative within the space of online newspapers (Reis, 2018).