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Clin Colon Rectal Surg 2015; 28(03): 176-180
DOI: 10.1055/s-0035-1555008
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Transanal Minimally Invasive Surgery

Teresa deBeche-Adams
1   Center for Colon and Rectal Surgery, Florida Hospital, Orlando, Florida
,
George Nassif
1   Center for Colon and Rectal Surgery, Florida Hospital, Orlando, Florida
› Author Affiliations
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Publication History

Publication Date:
05 October 2015 (online)

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Abstract

Transanal minimally invasive surgery (TAMIS) was first described in 2010 as a crossover between single-incision laparoscopic surgery and transanal endoscopic microsurgery (TEM) to allow access to the proximal and mid-rectum for resection of benign and early-stage malignant rectal lesions. The TAMIS technique can also be used for noncurative intent surgery of more advanced lesions in patients who are not candidates for radical surgery. Proper workup and staging should be done before surgical decision-making. In addition to the TAMIS port, instrumentation and set up include readily available equipment found in most operating suites. TAMIS has proven its usefulness in a wide range of applications outside of local excision, including repair of rectourethral fistula, removal of rectal foreign body, control of rectal hemorrhage, and as an adjunct in total mesorectal excision for rectal cancer. TAMIS is an easily accessible, technically feasible, and cost-effective alternative to TEM.

Keywords

transanal - rectal cancer - local excision - minimally invasive - TAMIS
 

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