Combination of endoscopic submucosal dissection and transanal minimally invasive surgery for the resection of early rectal cancer with fibrosis after prior partial excision

2018 ◽  
Vol 12 (2) ◽  
pp. 178-180
Author(s):  
Sung Hoo Kim ◽  
Dong Hoon Yang ◽  
Seok‐Byung Lim
Keyword(s):  
Rectal Cancer ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Endoscopic Submucosal Dissection ◽  
Invasive Surgery ◽  
Early Rectal Cancer ◽  
Transanal Minimally Invasive Surgery ◽  
Submucosal Dissection ◽  
Partial Excision

Transanal Minimally Invasive Surgery (TAMIS): New Treatment for Early Rectal Cancer and Large Rectal Polyps—Experience of an Italian Center

2015 ◽  
Vol 81 (3) ◽  
pp. 273-277 ◽  
Author(s):  
Riccardo Maglio ◽  
Gallinella Marco Muzi ◽  
Massimo Meucci Massimo ◽  
Luigi Masoni
Keyword(s):  
Rectal Cancer ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Local Excision ◽  
Invasive Surgery ◽  
Invasive Technique ◽  
Single Incision Laparoscopic Surgery ◽  
Early Rectal Cancer ◽  
Transanal Minimally Invasive Surgery ◽  
Laparoscopic Instruments

Transanal endoscopic microsurgery (TEM) is a minimally invasive technique for excision of rectal tumors that avoids conventional pelvic resectional surgery along with its risks and side effects. Although appealing, the associated cost and complex learning curve limit TEM use by colorectal surgeons. Transanal minimally invasive surgery (TAMIS) has emerged as an alternative to TEM. This platform uses ordinary laparoscopic instruments to achieve high-quality local excision. The aim of the study is to assess reliability of the technique. From July 2012 to August 2013, 15 consecutive patients with rectal pathology underwent TAMIS. After a single-incision laparoscopic surgery port was introduced into the anal canal, a pneumorectum was established with a laparoscopic device followed by transanal excision with conventional laparoscopic instruments, including graspers, electrocautery, and needle drivers. Patient demographics, operative data, and pathologic data were recorded. Of the 15 patients, 10 had rectal cancers (six T1 lesions and four T2 after preoperative chemoradiotherapy). The remainder of patients had a local excision for voluminous benign rectal adenomas. The median length of the lesions from the anal verge was 7 cm (range, 4 to 20 cm). The median operating time was 86 minutes (range, 33 to 160 minutes). There was no surgical morbidity or mortality. The median postoperative hospital stay was two days (range, 1 to 4 days). TAMIS seems to be a feasible and safe treatment option for early rectal cancer. We believe that this new technique is easy to perform, cost-effective, and less traumatic to the anal sphincter compared with traditional TEM.

The Role of TAMIS (Transanal Minimally Invasive Surgery) in the Management of Advanced Rectal Cancer – One Shared Story of Three Exceptional Cases

2018 ◽  
Vol 32 (4) ◽  
pp. 371-376 ◽  
Author(s):  
Dimitrios Giannoulopoulos ◽  
Constantinos Nastos ◽  
Maria Gavriatopoulou ◽  
Antonios Vezakis ◽  
Dionysios Dellaportas ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Advanced Rectal Cancer ◽  
Transanal Minimally Invasive Surgery
Sign in / Sign up

Export Citation Format

Share Document