Transanal minimally invasive surgery for total mesorectal excision (TAMIS–TME): results and experience with the first 20 patients undergoing curative-intent rectal cancer surgery at a single institution

Atallah, S.; Martin‐Perez, B.; Albert, Matthew; deBeche-Adams, Teresa; Nassif, George; Hunter, Lawna; Larach, Sergio W.

doi:10.1007/s10151-013-1095-7

Cited by 189 publications

(166 citation statements)

References 39 publications

(46 reference statements)

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“…As in the present series, other reports4, 5, 6, 7, 8, 9, 10, 11 24, 25 have described the absence of intra‐abdominal infection.…”

Section: Discussionsupporting

confidence: 83%

“…Among studies of colorectal cancer treated with hybrid NOTES, no local recurrence has been reported at 6 months6 24, 25 or 9 months11. There was a single local recurrence in one series31 with a median follow‐up of 29 months.…”

Section: Discussionmentioning

confidence: 96%

“…Since the first transgastric liver biopsy by Kalloo and colleagues1, there has been continued interest in natural orifice transluminal endoscopic surgery (NOTES)2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14. For colorectal cancer, most operations have been hybrid procedures4, 5, 6, 7, 8, 9, 10 with few reports11, 12, 13, 14 confined to NOTES alone.…”

Section: Introductionmentioning

confidence: 99%

“…For colorectal cancer, most operations have been hybrid procedures4, 5, 6, 7, 8, 9, 10 with few reports11, 12, 13, 14 confined to NOTES alone. In colorectal cancer surgery, potential benefits of NOTES might include less pain, avoidance of incisional infection, shorter hospital stay, better cosmesis and high‐quality oncological resection by transanal total mesorectal excision (TME)4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14.…”

Section: Introductionmentioning

confidence: 99%

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Natural orifice transluminal endoscopic surgery for colorectal cancer

Thien

Thanh

et al. 2017

BJS Open

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BackgroundNatural orifice transluminal endoscopic surgery (NOTES) has theoretical advantages over other approaches.MethodsThis was a prospective cohort study of colorectal cancers operated on by NOTES (transanally for rectal tumours, transvaginally for sigmoid tumours) between December 2013 and December 2015, with a minimum follow‐up of 1 year. Eligibility criteria included ASA fitness grade I–III, BMI below 25 kg/m2 and TNM stage T3 N0 M0. Exclusion criteria included pregnancy or distant metastasis. The anastomosis was either handsewn or performed mechanically.ResultsSixteen patients were operated on by a transanal and four by a transvaginal approach. There were ten men and ten women, with a mean(s.d.) age of 55·6(12·1) years. Mean BMI was 22·4(2·6) kg/m2. Four anterior, 11 low anterior and five intersphincteric resections were performed for 16 rectal and four low sigmoid tumours. The mean duration of surgery was 258(11) min. No conversion to laparotomy was needed, and there were no deaths. Five patients required additional ports, for intraoperative bleeding (1), suture of an intraoperative urethral injury with covering ileostomy (1) and difficulty in dissection (3). One patient had an anastomotic leak requiring transanal closure and ileostomy on day 7. Both ileostomies were closed after 2 months. The mean hospital stay was 6·4(1·8) days. All resections were R0.ConclusionIn carefully selected patients NOTES for colorectal cancer resection was feasible and effective.

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“…As in the present series, other reports4, 5, 6, 7, 8, 9, 10, 11 24, 25 have described the absence of intra‐abdominal infection.…”

Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Natural orifice transluminal endoscopic surgery for colorectal cancer

Thien

Thanh

et al. 2017

BJS Open

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“…Several potential advantages have been postulated. Atallah was the first to describe this combination of techniques including a detailed video and the results of the 20 first cases [8,9] . Rectal distention with CO 2 combined with magnified optics permits excellent visualization of tissue planes.…”

Section: Introduction and Historymentioning

confidence: 99%

The role of transanal total mesorectal excision in rectal surgery

Yellinek¹,

Wexner²

2018

MIS

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Transanal total mesorectal excision (TaTME) is the newest approach for the resection of rectal cancer, according to the principles of TME. The evolution of TaTME started almost 40 years ago and is a combination of several important developments in both micro-endoscopic surgery and transanal surgery. The preliminary clinical data have revealed acceptable TME quality. Clinical trials to determine the long-term oncological results are still in process. In order to master TaTME, the surgeon should be an expert in laparoscopic rectal surgery as well as transanal microsurgery and follow a stepwise training approach. Robotic TaTME using a single-port robotic system is a promising future development.

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Changes in surgical therapies for rectal cancer over the past 100 years: A review

Toiyama

Kusunoki

2020

Annals of Gastroent Surgery

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Advances in surgical and adjuvant therapies have resulted in a dramatic improvement in outcomes of rectal cancer in terms of both oncology and functional preservation. Surgery plays a central role in therapy as it is the only means of achieving a complete cure. These surgical advancements result from extensive pioneering research in the fields of anatomy and physiology. Much history lies behind the recent surgical breakthroughs of total mesorectal excision (TME) and intersphincteric resection (ISR). This article outlines the changes that have taken place in surgical therapies for rectal cancer over more than a century based on clinical trials performed to provide scientific evidence for these therapies.

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Transanal minimally invasive surgery for total mesorectal excision (TAMIS–TME): results and experience with the first 20 patients undergoing curative-intent rectal cancer surgery at a single institution

Abstract: Transanal TME is a feasible method for oncologic resection of locally advanced mid- and distal-rectal cancer with curative intent. It has special application for patients with obesity and anatomic constraints such as a narrow male pelvis.

Cited by 189 publications

References 39 publications

Natural orifice transluminal endoscopic surgery for colorectal cancer

Natural orifice transluminal endoscopic surgery for colorectal cancer

The role of transanal total mesorectal excision in rectal surgery

Changes in surgical therapies for rectal cancer over the past 100 years: A review

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