Abstract
Background
The recent introduction of transanal minimally invasive surgery (TAMIS) offers a safe and cost-effective method for the local resection of rectal neoplasms. The ability to standardize a technique for TAMIS will lead to the most reproducible outcomes and enable teaching.
Methods
A retrospective, IRB-approved chart review was conducted of 32 patients who underwent the TAMIS procedure at one institution over a 3-year period.
Results
TAMIS was performed for 11 benign and 21 malignant lesions. The majority of resections were full thickness (29/32) and all were R0. Average distance from the anal verge was 7.5 ± 3 cm, defect circumference was 43.7 ± 10 %, operative time was 131 ± 80 min, and length of stay was 1.1 ± 1 days. Two patients had morbidities requiring readmission and further treatment for (1) an aspiration pneumonia with CHF exacerbation and (2) a rectal abscess.
Conclusions
This report outlines an operative technique for TAMIS that is reproducible for the excision of rectal lesions, associated with low morbidity.
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Acknowledgments
Medical illustrations are by Satyen Tripathi, MA, CMI.
Disclosures
None. The authors have no financial relationships with any of the device companies mentioned in this manuscript. The authors do not promote one device over another by using proprietary names.
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Gill, S., Stetler, J.L., Patel, A. et al. Transanal Minimally Invasive Surgery (TAMIS): Standardizing a Reproducible Procedure. J Gastrointest Surg 19, 1528–1536 (2015). https://doi.org/10.1007/s11605-015-2858-4
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DOI: https://doi.org/10.1007/s11605-015-2858-4