Transanal Minimally Invasive Surgery for Rectal Lesions

Overview

Journal JSLS

Specialty General Surgery

Date 2016 Aug 23

PMID 27547025

Citations 15

Authors

Silvia Quaresima

Andrea Balla

Luana Franceschilli

Marco La Torre

Corrado Iafrate

Mostafa Shalaby

Nicola Di Lorenzo

Pierpaolo Sileri

Affiliations

Soon will be listed here.

Abstract

Background And Objectives: Transanal minimally invasive surgery (TAMIS) has emerged as an alternative to transanal endoscopic microsurgery (TEM). The authors report their experience with TAMIS for the treatment of mid and high rectal tumors.

Methods: From November 2011 through May 2016, 31 patients (21 females, 68%), with a median age of 65 years who underwent single-port TAMIS were prospectively enrolled. Mean distance from the anal verge of the rectal tumors was 9.5 cm. Seventeen patients presented with T1 cancer, 10 with large adenoma, 2 with gastrointestinal stromal tumor (GIST) and 2 with carcinoid tumor. Data concerning demographics, operative procedure and pathologic results were analyzed.

Results: TAMIS was successfully completed in all cases. In 4 (13%) TAMIS was converted to standard Park's transanal technique. Median postoperative stay was 3 days. The overall complication rate was 9.6%, including 1 urinary tract infection, 1 subcutaneous emphysema, and 1 hemorrhoidal thrombosis. TAMIS allowed an R0 resection in 96.8% of cases (30/31 cases) and a single case of local recurrence after a large adenoma resection was encountered.

Conclusion: TAMIS is a safe technique, with a short learning curve for laparoscopic surgeons already proficient in single-port procedures, and provides effective oncological outcomes compared to other techniques.

Citing Articles

Transanal minimally invasive (TAMIS) mucosal resection with muscular plication for patients with obstructed defecation syndrome-A prospective pilot study.

Widmann K, Dawoud C, Gidl D, Riss S Tech Coloproctol. 2025; 29(1):71.

PMID: 39984789 PMC: 11845432. DOI: 10.1007/s10151-024-03101-3.

Transvaginal resection of a gastrointestinal stromal tumor of the rectum: a case report.

Hatai S, Nagai S, Yoshida T, Matsuoka M, Shinkawa T, Oyama Y Surg Case Rep. 2024; 10(1):150.

PMID: 38886293 PMC: 11183011. DOI: 10.1186/s40792-024-01949-z.

Early Rectal Cancer and Local Excision: A Narrative Review.

Binda C, Secco M, Tuccillo L, Coluccio C, Liverani E, Jung C J Clin Med. 2024; 13(8).

PMID: 38673565 PMC: 11051053. DOI: 10.3390/jcm13082292.

Transanal minimally invasive surgery for benign and malignant rectal lesions: midterm outcomes from a tertiary center.

Al-Dhaheri M, Al-Ishaq F, Toffaha A, Nada M, Parvaiz A, Kurer M Ann Saudi Med. 2023; 43(6):348-351.

PMID: 38071443 PMC: 11182431. DOI: 10.5144/0256-4947.2023.348.

Rare rectal gastrointestinal stromal tumor case: A case report and review of the literature.

Dong R, Wang C, Zhou H, Yin H, Liu Y, Liang H World J Clin Cases. 2023; 11(28):6797-6805.

PMID: 37901015 PMC: 10600839. DOI: 10.12998/wjcc.v11.i28.6797.

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