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Local Treatment of Rectal Cancer (TEM Versus TAMIS Versus Transanal Excision)

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Abstract

Although total mesorectal excision (TME) and abdominoperineal resection (APR) are routinely employed for major oncologic resection of more advanced rectal lesions, the transanal approach to rectal cancer is uniquely poised to provide a curative option without the added morbidity of a transabdominal procedure. Additionally, a transanal option can help preserve function without compromising oncologic outcome. Since its first description in 1966, transanal excision continues to be an ideal option in select patients who present with early tumors and favorable characteristics, as well as a palliative procedure for more advanced disease in high-risk patients. In this chapter, we will describe the outcomes associated with various transanal excisional techniques, including transanal endoscopic microsurgery (TEM) and the more recently described transanal minimally invasive surgery (TAMIS) technique, to provide recommendations regarding options for managing these lesions.

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Author information

Authors and Affiliations

  1. Division of Colorectal Surgery, Department of Surgery, Main Line Health Systems, Lankenau Medical Center, Wynnewood, PA, USA

    John H. Marks MD, FACS, FASCRS

  2. Division of Colorectal Surgery, Lankenau Medical Center, 100 E Lancaster Ave, MOBW Suite 330, Wynnewood, PA, 19096, USA

    John H. Marks MD, FACS, FASCRS

  3. Colon and Rectal Cancer Surgery, Case Western Reserve University, University Hospitals Case Medical Center, Cleveland, OH, USA

    Harry Reynolds MD, FACS, FASCRS

Authors
  1. John H. Marks MD, FACS, FASCRS
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  2. Harry Reynolds MD, FACS, FASCRS
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Corresponding author

Correspondence to John H. Marks MD, FACS, FASCRS .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Madigan Army Medical Center, Fort Lewis, WA, USA

    Scott R. Steele MD

  2. Division of Colorectal Surgery Department of Surgery, UMass Memorial Medical Center University of Massachusetts Medical School, Worcester, MA, USA

    Justin A. Maykel MD

  3. Division of Colon and Rectal Surgery Department of Surgery, Case Western Reserve University School of Medicine University Hospitals, Cleveland, OH, USA

    Bradley J. Champagne MD

  4. Division of Colon and Rectal Surgery Department of Surgery, Louisiana State University Health Science Center LSU School of Medicine, New Orleans, LA, USA

    Guy R. Orangio MD

Electronic supplementary material

Below is the link to the electronic supplementary material.

Transanal endoscopic microsurgery (TEM) excision of a rectal mass (Video by Peter Cataldo, MD) (MOV 187521 kb)

Transanal minimally invasive surgery removal of a rectal mass (Video by Matthew Albert, MD) (WMV 84531 kb)

Transanal minimally invasive surgery removal of a rectal mass (Video by Matthew Albert, MD) (WMV 86612 kb)

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Marks, J.H., Reynolds, H. (2014). Local Treatment of Rectal Cancer (TEM Versus TAMIS Versus Transanal Excision). In: Steele, S.R., Maykel, J.A., Champagne, B.J., Orangio, G.R. (eds) Complexities in Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9022-7_14

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  • DOI: https://doi.org/10.1007/978-1-4614-9022-7_14

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-9021-0

  • Online ISBN: 978-1-4614-9022-7

  • eBook Packages: MedicineMedicine (R0)

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