Skip to main content

Advertisement

Log in

Transanal Minimally Invasive Surgery (TAMIS): a clinical spotlight review

  • SAGES Clinical Spotlight Review
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Guyatt GH, Oxman AD, Kunz R, Falck-Ytter Y, Vist GE, Liberati A, Schunemann HJ (2008) Going from evidence to recommendations. BMJ 336:1049–1051

    Article  PubMed  PubMed Central  Google Scholar 

  2. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, Schunemann HJ (2008) GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 336:924–926

    Article  PubMed  PubMed Central  Google Scholar 

  3. Buess G, Theiss R, Günther M, Hutterer F, Pichlmaier H (1985) Transanal endoscopic microsurgery. Leber Magen Darm 15(6):271–279

    CAS  PubMed  Google Scholar 

  4. Buess G, Kipfmüller K, Hack D, Grüssner R, Heintz A, Junginger T (1988) Technique of transanal endoscopic microsurgery. Surg Endosc 2(2):71–75

    Article  CAS  PubMed  Google Scholar 

  5. Buess G, Mentges B, Manncke K, Starlinger M, Becker HD (1992) Technique and results of transanal endoscopic microsurgery in early rectal cancer. Am J Surg. 163(1):63–69; discussion 69–70

    Article  CAS  PubMed  Google Scholar 

  6. Saclarides TJ, Smith L, Ko ST, Orkin B, Buess G (1992) Transanal endoscopic microsurgery. Dis Colon Rectum 35(12):1183–1191

    Article  CAS  PubMed  Google Scholar 

  7. Lev-Chelouche D, Margel D, Goldman G, Rabau MJ (2000) Transanal endoscopic microsurgery: experience with 75 rectal neoplasms. Dis Colon Rectum 43(5):662–667; discussion 667–668

    Article  CAS  PubMed  Google Scholar 

  8. Cataldo PA (2006) Transanal endoscopic microsurgery. Surg Clin N Am 86(4):915–925

    Article  PubMed  Google Scholar 

  9. de Graaf EJ, Burger JW, van Ijsseldijk AL, Tetteroo GW, Dawson I, Hop WC (2011) Transanal endoscopic microsurgery is superior to transanal excision of rectal adenomas. Colorectal Dis 13(7):762–767

    Article  PubMed  Google Scholar 

  10. Moore JS, Cataldo PA, Osler T, Hyman NH (2008) Transanal endoscopic microsurgery is more effective than traditional transanal excision for resection of rectal masses. Dis Colon Rectum 51(7):1026–1030; discussion 1030–1031

    Article  PubMed  Google Scholar 

  11. Maslekar S, Pillinger SH, Sharma A, Taylor A, Monson JR (2007) Cost analysis of transanal endoscopic microsurgery for rectal tumours. Colorectal Dis 9(3):229–234

    Article  CAS  PubMed  Google Scholar 

  12. Koebrugge B, Bosscha K, Ernst MF (2009) Transanal endoscopic microsurgery for local excision of rectal lesions: is there a learning curve? Dig Surg 26(5):372–377

    Article  CAS  PubMed  Google Scholar 

  13. Christoforidis D, Cho HM, Dixon MR, Mellgren AF, Madoff RD, Finne CO (2009) Transanal endoscopic microsurgery versus conventional transanal excision for patients with early rectal cancer. Ann Surg 249(5):776–782

    Article  PubMed  Google Scholar 

  14. Atallah S, Albert M, Larach S (2010) Transanal minimally invasive surgery: a giant leap forward. Surg Endosc 24(9):2200–2205

    Article  PubMed  Google Scholar 

  15. Albert MR, Atallah SB, deBeche-Adams TC, Izfar S, Larach SW (2013) Transanal minimally invasive surgery (TAMIS) for local excision of benign neoplasms and early-stage rectal cancer: efficacy and outcomes in the first 50 patients. Dis Colon Rectum 56(3):301–307

    Article  PubMed  Google Scholar 

  16. Rimonda R, Arezzo A, Arolfo S, Salvai A, Morino M (2013) TransAnal Minimally Invasive Surgery (TAMIS) with SILS™ port versus Transanal Endoscopic Microsurgery (TEM): a comparative experimental study. Surg Endosc 27(10):3762–3768

    Article  PubMed  Google Scholar 

  17. Lim SB, Seo SI, Lee JL, Kwak JY, Jang TY, Kim CW, Yoon YS, Yu CS, Kim JC (2012) Feasibility of transanal minimally invasive surgery for mid-rectal lesions. Surg Endosc 26(11):3127–3132

    Article  PubMed  Google Scholar 

  18. Barendse RM, Doornebosch PG, Bemelman WA, Fockens P, Dekker E, de Graaf EJ (2012) Transanal employment of single access ports is feasible for rectal surgery. Ann Surg 256(6):1030–1033

    Article  PubMed  Google Scholar 

  19. Matz J, Matz A (2012) Use of a SILS port in transanal endoscopic microsurgery in the setting of a community hospital. J Laparoendosc Adv Surg Tech A 22(1):93–96

    Article  PubMed  Google Scholar 

  20. Lorenz C, Nimmesgern T, Back M, Langwieler TE (2010) Transanal single port microsurgery (TSPM) as a modified technique of transanal endoscopic microsurgery (TEM). Surg Innov 17(2):160–163

    Article  PubMed  Google Scholar 

  21. Ragupathi M, Haas EM (2011) Transanal endoscopic video-assisted excision: application of single-port access. JSLS 15(1):53–58

    Article  PubMed  PubMed Central  Google Scholar 

  22. Khoo RE (2010) Transanal excision of a rectal adenoma using single-access laparoscopic port. Dis Colon Rectum 53(7):1078–1079

    Article  PubMed  Google Scholar 

  23. Smith RA, Anaya DA, Albo D, Artinyan A (2012) A stepwise approach to transanal endoscopic microsurgery for rectal cancer using a single-incision laparoscopic port. Ann Surg Oncol 19(9):2859

    Article  PubMed  Google Scholar 

  24. Watts ES, Peacock O, Gupta A, Speake WJ, Lund JN (2013) Anyone for TAMIS? Tech Coloproctol 17(2):253–255

    Article  CAS  PubMed  Google Scholar 

  25. Kennedy ML, Lubowski DZ, King DW (2002) Transanal endoscopic microsurgery excision: is anorectal function compromised? Dis Colon Rectum 45(5):601–604

    Article  CAS  PubMed  Google Scholar 

  26. Wang HS, Lin JK, Yang SH, Jiang JK, Chen WS, Lin TC (2003) Prospective study of the functional results of transanal endoscopic microsurgery. Hepatogastroenterology 50(53):1376–1380

    PubMed  Google Scholar 

  27. Lee TG, Lee SJ (2014) Transanal single-port microsurgery for rectal tumors: minimal invasive surgery under spinal anesthesia. Surg Endosc 28(1):271–280

    Article  PubMed  Google Scholar 

  28. Karakayali FY, Tezcaner T, Moray G (2015) Anorectal function and outcomes after transanal minimally invasive surgery for rectal tumors. J Minim Access Surg 11(4):257–262

    Article  PubMed  PubMed Central  Google Scholar 

  29. Verseveld M, Barendse RM, Gosselink MP, Verhoef C, de Graaf EJ, Doornebosch PG (2016) Transanal minimally invasive surgery: impact on quality of life and functional outcome. Surg Endosc 30(3):1184–1187

    Article  PubMed  Google Scholar 

  30. Brown G (2008) Staging rectal cancer: endoscopic ultrasound and pelvic MRI. Cancer Imaging 8:S43–S45

    Article  PubMed  PubMed Central  Google Scholar 

  31. Brown G (2014) Imaging assessment of early rectal cancer. Recent Results Cancer Res 203:3–14

    Article  PubMed  Google Scholar 

  32. National Comprehensive Cancer Network. Rectal Cancer (Version 3.2015). http://www.nccn.org

  33. Cataldo PA (2011) Local excision of rectal cancer. In: Beck DE (ed) The ASCRS textbook of colon and rectal surgery, 2nd edn. Springer-Verlag, New York, pp 731–741

  34. Qi Y, Stoddard D, Monson JR (2011) Indications and techniques of transanal endoscopic microsurgery (TEMS). J Gastrointest Surg 15(8):1306–1308

    Article  PubMed  Google Scholar 

  35. Nascimbeni R, Burgart LJ, Nivatvongs S, Larson DR (2002) Risk of lymph node metastasis in T1 carcinoma of the colon and rectum. Dis Colon Rectum 45(2):200–206

    Article  PubMed  Google Scholar 

  36. Edge SB, Byrd DR, Compton CC, Fritz AG, Greene FL, Trotti A (eds) (2010) AJCC cancer staging manual, 7th edn. Springer, New York

    Google Scholar 

  37. Heidary B, Phang TP, Raval MJ, Brown CJ (2014) Transanal endoscopic microsurgery: a review. Can J Surg 57(2):127–138

    Article  PubMed  PubMed Central  Google Scholar 

  38. Kikuchi R, Takano M, Takagi K et al (1995) Management of early invasive colorectal cancer. Risk of recurrence and clinical guidelines. Dis Colon Rectum 38:1286–1295

    Article  CAS  PubMed  Google Scholar 

  39. Choi PW, Yu CS, Jang SJ et al (2008) Risk factors for lymph node metastasis in submucosal invasive colorectal cancer. World J Surg 32:2089–2094

    Article  PubMed  Google Scholar 

  40. Borschitz T, Heintz A, Junginger T (2007) Transanal endoscopic microsurgical excision of pT2 rectal cancer: results and possible indications. Dis Colon Rectum 50(3):292–301

    Article  PubMed  Google Scholar 

  41. Hahnloser D, Wolff B, Larson D, Ping J, Nivatvongs S (2005) Immediate radical resection after local excision of rectal cancer: an oncologic compromise? Dis Colon Rectum 48(3):429–437

    Article  PubMed  Google Scholar 

  42. Baron PL, Enker WE, Zakowski ME, Urmacher C (1995) Immediate vs. salvage resection after local treatment for early rectal cancer. Dis Colon Rectum 38:177–181

    Article  CAS  PubMed  Google Scholar 

  43. Duek SD, Issa N, Hershko DD, Krausz MM (2008) Outcome of transanal endoscopic microsurgery and adjuvant radiotherapy in patients with T2 rectal cancer. Dis Colon Rectum 51(4):379–384

    Article  PubMed  Google Scholar 

  44. Guerrieri M, Gesuita R, Ghiselli R, Lezoche G, Budassi A, Baldarelli M (2014) Treatment of rectal cancer by transanal endoscopic microsurgery: experience with 425 patients. World J Gastroenterol 20(28):9556–9563

    Article  PubMed  PubMed Central  Google Scholar 

  45. Lezoche E, Baldarelli M, Lezoche G, Paganini AM, Gesuita R, Guerrieri M (2012) Randomized clinical trial of endoluminal locoregional resection versus laparoscopic total mesorectal excision for T2 rectal cancer after neoadjuvant therapy. Br J Surg 99(9):1211–1218

    Article  CAS  PubMed  Google Scholar 

  46. Lim SB, Seo SI, Lee JL, Kwak JY, Jang TY, Kim CW, Yoon YS, Yu CS, Kim JC (2012) Feasibility of transanal minimally invasive surgery for mid-rectal lesions. Surg Endosc 26(11):3127–3132

    Article  PubMed  Google Scholar 

  47. Smith FM, Waldron D, Winter DC (2010) Rectum-conserving surgery in the era of chemoradiotherapy. Br J Surg 97(12):1752–1764

    Article  CAS  PubMed  Google Scholar 

  48. Habr-Gama A, Perez RO, Wynn G, Marks J, Kessler H, Gama-Rodrigues J (2010) Complete clinical response after neoadjuvant chemoradiation therapy for distal rectal cancer: characterization of clinical and endoscopic findings for standardization. Dis Colon Rectum 53(12):1692–1698

    Article  PubMed  Google Scholar 

  49. Garcia-Aguilar J, Shi Q, Thomas CR Jr, Chan E, Cataldo P, Marcet J, Medich D, Pigazzi A, Oommen S, Posner MC (2012) A phase II trial of neoadjuvant chemoradiation and local excision for T2N0 rectal cancer: preliminary results of the ACOSOG Z6041 trial. Ann Surg Oncol 19(2):384–391

    Article  PubMed  Google Scholar 

  50. Kundel Y, Brenner R, Purim O, Peled N, Idelevich E, Fenig E, Sulkes A, Brenner B (2010) Is local excision after complete pathological response to neoadjuvant chemoradiation for rectal cancer an acceptable treatment option? Dis Colon Rectum 53(12):1624–1631

    Article  PubMed  Google Scholar 

  51. Kim CJ, Yeatman TJ, Coppola D, Trotti A, Williams B, Barthel JS, Dinwoodie W, Karl RC, Marcet J (2001) Local excision of T2 and T3 rectal cancers after downstaging chemoradiation. Ann Surg 234(3):352–358; discussion 358–359

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Bedrosian I, Rodriguez-Bigas MA, Feig B, Hunt KK, Ellis L, Curley SA, Vauthey JN, Delclos M, Crane C, Janjan N, Skibber JM (2004) Predicting the node-negative mesorectum after preoperative chemoradiation for locally advanced rectal carcinoma. J Gastrointest Surg. 8(1):56–62; discussion 62–63

    Article  PubMed  Google Scholar 

  53. Bujko K, Nowacki MP, Nasierowska-Guttmejer A, Kepka L, Winkler-Spytkowska B, Suwiński R, Oledzki J, Stryczyńska G, Wieczorek A, Serkies K, Rogowska D, Tokar P (2005) Polish Colorectal Study Group. Prediction of mesorectal nodal metastases after chemoradiation for rectal cancer: results of a randomised trial: implication for subsequent local excision. Radiother Oncol 76(3):234–240

    Article  PubMed  Google Scholar 

  54. Yeo SG, Kim DY, Kim TH, Chang HJ, Oh JH, Park W, Choi DH, Nam H, Kim JS, Cho MJ, Kim JH, Park JH, Kang MK, Koom WS, Kim JS, Nam TK, Chie EK, Kim JS, Lee KJ (2010) Pathologic complete response of primary tumor following preoperative chemoradiotherapy for locally advanced rectal cancer: long-term outcomes and prognostic significance of pathologic nodal status (KROG 09-01). Ann Surg 252(6):998–1004

    Article  PubMed  Google Scholar 

  55. Kinoshita T, Kanehira E, Omura K et al (2007) Transanal endoscopic microsurgery in the treatment of rectal carcinoid tumor. Surg Endosc 21:970–974

    Article  CAS  PubMed  Google Scholar 

  56. Kumar AS, Sidani SM, Kolli K, Stahl TJ, Ayscue JM, Fitzgerald JF, Smith LE (2012) Transanal endoscopic microsurgery for rectal carcinoids: the largest reported United States experience. Colorectal Dis 14(5):562–566

    Article  CAS  PubMed  Google Scholar 

  57. Araki Y, Isomoto H, Shirouzu K (2001) Clinical efficacy of video-assisted gasless transanal endoscopic microsurgery (TEM) for rectal carcinoid tumor. Surg Endosc 15:402–404

    Article  CAS  PubMed  Google Scholar 

  58. Mentges B, Buess G, Raestrup H et al (1994) TEM results of the Tuebingen group. Endosc Surg Allied Technol 2:247–250

    CAS  PubMed  Google Scholar 

  59. Ishikawa K, Arita T, Shimoda K et al (2005) Usefulness of transanal endoscopic surgery for carcinoid tumor in the upper and middle rectum. Surg Endosc 19:1151–1154

    Article  CAS  PubMed  Google Scholar 

  60. Nakagoe T, Ishikawa H, Sawai T et al (2003) Gasless, video endoscopic transanal excision for carcinoid and laterally spreading tumors of the rectum. Surg Endosc 17:1298–1304

    Article  CAS  PubMed  Google Scholar 

  61. Kobayashi K, Katsumata T, Yoshizawa S et al (2005) Indications of endo- scopic polypectomy for rectal carcinoid tumors and clinical usefulness of endoscopic ultrasonography. Dis Colon Rectum 48:285–291

    Article  PubMed  Google Scholar 

  62. Hahnloser D, Cantero R, Salgado G, Dindo D, Rega D, Delrio P (2015) Transanal minimal invasive surgery for rectal lesions: should the defect be closed? Colorectal Dis 17(5):397–402

    Article  CAS  PubMed  Google Scholar 

  63. McLemore EC, Weston LA, Coker AM, Jacobsen GR, Talamini MA, Horgan S, Ramamoorthy SL (2014) Transanal minimally invasive surgery for benign and malignant rectal neoplasia. Am J Surg 208(3):372–381

    Article  PubMed  Google Scholar 

  64. Maglio R, Muzi GM, Massimo MM, Masoni L (2015) Transanal minimally invasive surgery (TAMIS): new treatment for early rectal cancer and large rectal polyps—experience of an Italian center. Am Surg 81(3):273–277

    PubMed  Google Scholar 

  65. Albert MR, Atallah SB, deBeche-Adams TC, Izfar S, Larach SW (2013) Transanal minimally invasive surgery (TAMIS) for local excision of benign neoplasms and early-stage rectal cancer: efficacy and outcomes in the first 50 patients. Dis Colon Rectum 56(3):301–307

    Article  PubMed  Google Scholar 

  66. Bislenghi G, Wolthuis AM, van Overstraeten ADB, D’Hoore A (2015) AirSeal system insufflator to maintain a stable pneumorectum during TAMIS. Tech Coloproctol 19(1):43–45

    Article  CAS  PubMed  Google Scholar 

  67. Guerrieri M, Baldarelli M, Organetti L, Grillo Ruggeri F, Mantello G, Bartolacci S, Lezoche E (2008) Transanal endoscopic microsurgery for the treatment of selected patients with distal rectal cancer: 15 years experience. Surg Endosc 22(9):2030–2035

    Article  CAS  PubMed  Google Scholar 

  68. Hahnloser D, Cantero R, Salgado G, Dindo D, Rega D, Delrio P (2015) Transanal minimal invasive surgery for rectal lesions: should the defect be closed? Colorectal Dis 17(5):397–402

    Article  CAS  PubMed  Google Scholar 

  69. Marks JH, Valsdottir EB, DeNittis A, Yarandi SS, Newman DA, Nweze I, Mohiuddin M, Marks GJ (2009) Transanal endoscopic microsurgery for the treatment of rectal cancer: comparison of wound complication rates with and without neoadjuvant radiation therapy. Surg Endosc 23(5):1081–1087

    Article  PubMed  Google Scholar 

  70. Martin-Perez B, Andrade-Ribeiro GD, Hunter L, Atallah S (2014) A systematic review of transanal minimally invasive surgery (TAMIS) from 2010 to 2013. Tech Coloproctol 18(9):775–788

    Article  CAS  PubMed  Google Scholar 

  71. Silveira Mendes CR, Miranda Ferreira LS, Aguiar Sapucaia R, Andrade Lima M, Alonso Araujo SE (2013) Transanal minimally-invasive surgery (TAMIS): technique and results from an initial experience. J Coloproctol 33(4):191–195

    Article  Google Scholar 

  72. van den Boezem PB, Kruyt PM, Stommel MW, Tobon Morales R, Cuesta MA, Sietses C (2011) Transanal single-port surgery for the resection of large polyps. Dig Surg 28:412–416

    Article  PubMed  Google Scholar 

  73. Molina G, Bordeianou L, Shellito P, Sylla P (2016) Transanal endoscopic resection with peritoneal entry: a word of caution. Surg Endosc 30(5):1816–1825

    Article  PubMed  Google Scholar 

  74. Keller DS, Tahilramani RN, Flores-Gonzalez JR, Mahmood A, Haas EM (2016) Transanal minimally invasive surgery: review of indications and outcomes from 75 consecutive patients. J Am Coll Surg 222(5):814–822

    Article  PubMed  Google Scholar 

  75. Baatrup G, Borschitz T, Cunningham C, Qvist N (2009) Perforation into the peritoneal cavity during transanal endoscopic microsurgery for rectal cancer is not associated with major complications or oncological compromise. Surg Endosc 23(12):2680–2683

    Article  PubMed  Google Scholar 

  76. Gavagan JA, Whiteford MH, Swanstrom LL (2004) Full-thickness intraperitoneal excision by transanal endoscopic microsurgery does not increase short-term complications. Am J Surg 187(5):630–634

    Article  PubMed  Google Scholar 

  77. Bridoux V, Schwarz L, Suaud L, Dazza M, Michot F, Tuech JJ (2014) Transanal minimal invasive surgery with the EndorecTM trocar: a low cost but effective technique. Int J Colorectal Dis 29:177–181

    Article  PubMed  Google Scholar 

  78. Hompes R, Ris F, Cunningham C, Mortensen NJ, Cahill RA (2012) Transanal glove port is a safe and cost-effective alternative for transanal endoscopic microsurgery. Br J Surg 99:1429–1435

    Article  CAS  PubMed  Google Scholar 

  79. Atallah S, Albert M, Debeche-Adams T, Larach S (2013) Transanal minimally invasive surgery (TAMIS): applications beyond local excision. Tech Coloproctol 17(2):239–243

    Article  CAS  PubMed  Google Scholar 

  80. Zhang H, Zhang YS, Jin XW, Li MZ, Fan JS, Yang ZH (2013) Transanal single-port laparoscopic total mesorectal excision in the treatment of rectal cancer. Tech Coloproctol 17(1):117–123

    Article  CAS  PubMed  Google Scholar 

  81. Atallah S, Martin-Perez B, Albert M, deBeche-Adams T, Nassif G, Hunter L, Larach S (2014) Transanal minimally invasive surgery for total mesorectal excision (TAMIS-TME): results and experience with the first 20 patients undergoing curative-intent rectal cancer surgery at a single institution. Tech Coloproctol 18(5):473–480

    Article  CAS  PubMed  Google Scholar 

  82. Nivatvongs S (2002) Surgical management of malignant colorectal polyps. Surg Clin North Am 82:959–966

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Teresa deBeche-Adams.

Ethics declarations

Disclosures

Dr. deBeche-Adams reports personal fees for Applied Medical and consulting for TransEnterix. Dr. Hassan has nothing to disclose. Dr. Haggerty reports personal fees for Covidien/Medtronic, as well as Honorarium from Bard. Dr. Stefanidis reports personal fees from WL Gore and Davol.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

deBeche-Adams, T., Hassan, I., Haggerty, S. et al. Transanal Minimally Invasive Surgery (TAMIS): a clinical spotlight review. Surg Endosc 31, 3791–3800 (2017). https://doi.org/10.1007/s00464-017-5636-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-017-5636-4

Keywords

Navigation