{"id":1198,"date":"2026-05-20T09:00:00","date_gmt":"2026-05-20T12:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1198"},"modified":"2026-05-20T09:00:00","modified_gmt":"2026-05-20T12:00:00","slug":"pgrss-cirurgia-colorretal-robotica-tatme-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-cirurgia-colorretal-robotica-tatme-rss\/","title":{"rendered":"PGRSS cirurgia colorretal rob\u00f3tica \u2014 TaTME e ressec\u00e7\u00e3o"},"content":{"rendered":"<h2>Por que colorretal rob\u00f3tica tem perfil espec\u00edfico<\/h2>\n<p>Cirurgia colorretal rob\u00f3tica (Da Vinci Xi\/SP) \u00e9 refer\u00eancia em <strong>TaTME (Trans-anal Total Mesorectal Excision)<\/strong> + <strong>ressec\u00e7\u00e3o anterior baixa<\/strong> + <strong>hemicolectomia<\/strong> + <strong>proctocolectomia<\/strong> + <strong>anastomose com grampeador circular<\/strong>. Combina <strong>EndoWrist colorretal espec\u00edfico<\/strong> + <strong>drape Da Vinci 4 bra\u00e7os<\/strong> + <strong>trocateres rob\u00f3ticos<\/strong> + <strong>grampeador endosc\u00f3pico<\/strong> + <strong>g\u00e1s CO2 insufla\u00e7\u00e3o alta vaz\u00e3o<\/strong> + <strong>eventual ostomia (colostomia\/ileostomia)<\/strong>. Opera sob RDC 222 + RDC 50 + Portaria CFM 1.643\/2002 + Diretrizes SBCP.<\/p>\n<h2>Tabela 5 fluxos<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fluxo<\/th>\n<th>Grupo<\/th>\n<th>Volume mensal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>EndoWrist colorretal p\u00f3s-vida \u00fatil 8-10 usos<\/td>\n<td>A1 risco aumentado<\/td>\n<td>5-12 kg<\/td>\n<\/tr>\n<tr>\n<td>Tecido excisado (c\u00f3lon, reto, mesent\u00e9rio)<\/td>\n<td>A2 (anatomopatol\u00f3gico)<\/td>\n<td>3-8 kg<\/td>\n<\/tr>\n<tr>\n<td>Material grampeador circular descart\u00e1vel<\/td>\n<td>A1 RA<\/td>\n<td>2-5 kg<\/td>\n<\/tr>\n<tr>\n<td>Drape Da Vinci 4-bra\u00e7os + trocater<\/td>\n<td>A1 baixa<\/td>\n<td>4-10 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco anest\u00e9sico+contraste vencido<\/td>\n<td>B (controlado)<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>15-38 kg\/m\u00eas<\/strong> (centro m\u00e9dio).<\/p>\n<h2>Cap\u00edtulo TaTME e amostra<\/h2>\n<p>TaTME (abordagem trans-anal) gera amostra anatomopatol\u00f3gica espec\u00edfica:<\/p>\n<ul>\n<li>Reto + mesorreto + linfonodos = pe\u00e7a oncol\u00f3gica<\/li>\n<li>Marca\u00e7\u00e3o intraoperat\u00f3ria com tinta nanquim (margens + fragmenta\u00e7\u00e3o)<\/li>\n<li>Recipiente refrigerado <10\u00b0C tr\u00e2nsito at\u00e9 patologia<\/li>\n<li>Custo amostra: pe\u00e7a com >5 linfonodos = R$ 200-500 patologia adicional<\/li>\n<li>MTR espec\u00edfico Grupo A2 com identifica\u00e7\u00e3o paciente at\u00e9 laudo (30 dias)<\/li>\n<li>Em caso de margem positiva: requalifica\u00e7\u00e3o cir\u00fargica<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Centro rob\u00f3tico colorretal iniciante (1-2 cirurgias\/dia):<\/strong> R$ 1500-2800\/m\u00eas. Setup R$ 22-40k.<\/p>\n<p><strong>Perfil 2 \u2014 Centro m\u00e9dio (3-5 cirurgias\/dia):<\/strong> R$ 2800-5200\/m\u00eas. Setup R$ 40-75k.<\/p>\n<p><strong>Perfil 3 \u2014 Hospital rob\u00f3tico colorretal de refer\u00eancia (>5 cirurgias\/dia):<\/strong> R$ 5200-9500\/m\u00eas. Setup R$ 75-130k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>EndoWrist colorretal no Grupo A1 simples \u2014 \u00e9 A1 RA + alto valor unit\u00e1rio<\/li>\n<li>Tecido oncol\u00f3gico no saco branco simples \u2014 exige A2 + identifica\u00e7\u00e3o paciente<\/li>\n<li>Grampeador circular no perfuro comum \u2014 \u00e9 A1 RA + perfuro espec\u00edfico<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o cirurgia colorretal rob\u00f3tica<\/a><\/strong> \u2014 cap\u00edtulo TaTME + EndoWrist + amostra oncol\u00f3gica A2.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de cirurgia colorretal rob\u00f3tica: TaTME, ressec\u00e7\u00e3o anterior baixa, anastomose, EndoWrist espec\u00edfico.<\/p>\n","protected":false},"author":3,"featured_media":1197,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2134,22,2135,2136],"class_list":["post-1198","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-cirurgia-colorretal","tag-rdc-222","tag-robotica","tag-tatme"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1198","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1198"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1198\/revisions"}],"predecessor-version":[{"id":3842,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1198\/revisions\/3842"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1197"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1198"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1198"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1198"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}