Transanal Minimally Invasive Surgery (TAMIS): Operative Technique, Pitfalls, and Tips

  • Francisco Quinteros
  • Kumaran Thiruppathy
  • Matthew R. AlbertEmail author


Management of benign and malignant rectal tumors is challenging through traditional transanal techniques, resulting in substandard results. Ongoing evolution of transanal platforms to perform these procedures has allowed transanal minimally invasive surgery (TAMIS) to develop. TAMIS has improved access and visibility in the rectum allowing for the safe and oncologically sound resection of rectal neoplasms. It has also allowed the development of complex and innovative procedures such as transanal total mesorectal resections TME (TaTME). TAMIS is associated with a relatively short learning curve for those already facile with laparoscopic skills, and its ease of use mandates that it should be in every colorectal surgeon’s armament.


Rectal Wall Transanal Endoscopic Microsurgery Transanal Excision Short Learning Curve Transanal Resection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Dr. Quinteros and Dr. Thiruppathy have no disclosures. Dr. Albert is a paid speaker, program director, and consultant for Applied Medical and is a speaker for Lifecell.

Supplementary material

Video 25.1

TAMIS (MP4 997382 kb)

Video 25.2

Robot TAMIS (MP4 547427 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Francisco Quinteros
    • 1
  • Kumaran Thiruppathy
    • 2
    • 3
  • Matthew R. Albert
    • 1
    Email author
  1. 1.Department of Colorectal Surgery, Center for Colon and Rectal SurgeryFlorida Hospital OrlandoOrlandoUSA
  2. 2.Department of Colorectal SurgeryCenter for Colon and Rectal Surgery, Florida Hospital OrlandoOrlandoUSA
  3. 3.Department of Colorectal SurgeryColchester General HospitalEssexUK

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