TAMIS excision of Rectal GIST following effective treatment with neoadjuvant Imatinib – a video vignette

Abstract

Systematic review and meta-analysis of prophylactic mesh during primary stoma formation to prevent parastomal hernia. Dis Colon Rectum 2017; 60: 107-15. 8 Brandsma HT, Hansson BM, Aufenacker TJ et al. Prophylactic mesh placement during formation of an end-colostomy reduces the rate of parastomal hernia: short-term results of the Dutch PREVENT-trial.

Trans-anal Minimally Invasive Surgery Combined With a Robotic Anterior Approach for Sleeve Resection of a Huge Rectal Gastrointestinal Stromal Tumor

“…The optimal surgical approach depends on multiple factors including tumor size, location, and presence of local invasion. Various surgical techniques have been described for rectal GISTs, including conventional trans-anal resection, trans-sacral approach [ 6 ], trans-vaginal approach [ 7 ], trans-anal endoscopic microsurgery (TEM) [ 8 ], trans-anal minimal invasive surgery [ 9 , 10 ], and laparoscopic surgery, though the appropriate surgical technique is still debated.…”

“…The technical advantages and better visualization that this approach affords may also facilitate better outcomes for patients with locally advanced rectal GISTs, though little is known about the risk and benefits, and there are no indication criteria available. Trans-anal minimally invasive surgery for rectal GISTs has been reported, though they are the intraluminally growing type and located at the posterior aspect, or even anteriorly, and are small in size [ 9 , 10 ]. Trans-anal minimally invasive surgery for rectal GISTs particularly the extraluminal growing type at the anterior aspect is technically challenging due to anatomical complexity.…”