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Transanal Minimally Invasive Surgery for Rectal Cancer

  • Avo ArtinyanEmail author
Chapter

Abstract

The indications and utilization of local excision for rectal cancer have been steadily increasing over the past three decades. The introduction of transanal endoscopic microsurgery (TEM) facilitated the local excision of more proximal lesions in the mid and upper rectum. Transanal minimally invasive surgery (TAMIS) is a more recent modification of TEM, wherein disposable transanal ports and single-incision devices are used to gain access to the rectal lumen. Although the fundamental principles of TAMIS are similar to those of TEM, TAMIS is a unique procedure that requires a different skill set. The following chapter highlights the indications, anatomic considerations, technical aspects, and outcomes of this novel procedure.

Keywords

Rectal cancer Minimally invasive TAMIS Laparoscopic 

Supplementary material

Video 27.1

In this video, the surgeon demonstrates his approach to transanal minimally invasive surgery (TAMIS). (WMV 71,852 kb)

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Division of Surgical Oncology, Department of SurgeryBaylor College of MedicineHoustonUSA

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