Transanal minimally invasive surgery for total mesorectal excision (TAMIS–TME): a stepwise description of the surgical technique with video demonstration

Atallah, S.; Albert, Matthew; deBeche-Adams, Teresa; Nassif, George; Polavarapu, Harsha V.; Larach, Sergio W.

doi:10.1007/s10151-012-0971-x

Cited by 107 publications

(63 citation statements)

References 42 publications

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“…The paper by Atallah et al [1] and its video mirror the work of Lacy et al [2] who recently presented in Barcelona and in Vienna the results of the first 40 cases of what he called abdomino-transanal TME. Last year, in this very journal, Zheng published the first case of transanal TME carried out entirely from below [3] shortly followed by Leroy et al [4] who called it ''no scar transanal TME'', both using many of the same principles.…”

mentioning

confidence: 63%

A new solution to some old problems: transanal TME

2013

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mentioning

confidence: 63%

A new solution to some old problems: transanal TME

2013

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“…Relatively small case series describe the safety and feasibility of TAMIS for resection of adenomas and early rectal cancers, 42 but the relative infancy of the technique precludes long-term oncologic results at present. TAMIS procedures in the upper rectum 43 and in combination with transabdominal TME for low rectal cancers 44 have been described.…”

Section: Surgical Techniquementioning

confidence: 99%

Sphincter-Sparing Surgery in Patients with Low-Lying Rectal Cancer: Techniques, Oncologic Outcomes, and Functional Results

Bordeianou

Maguire

Alavi

et al. 2014

Journal of Gastrointestinal Surgery

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Background Rectal cancer management has evolved into a complex multimodality approach with survival, local recurrence, and quality of life parameters being the relevant endpoints. Surgical treatment for low rectal cancer has changed dramatically over the past 100 years. Discussion Abdominoperineal resection, once the standard of care for all rectal cancers, has become much less frequently utilized as surgeons devise and test new techniques for preserving the sphincters, maintaining continuity, and performing oncologically sound ultra-low anterior or local resections. Progress in rectal cancer surgery has been driven by improved understanding of the anatomy and pathophysiology of the disease, innovative surgical technique, improved technology, multimodality approaches, and increased appreciation of the patient's quality of life. The patient with a low rectal cancer, once almost universally destined for impotence and a colostomy, now has the real potential for improved survival, avoidance of a permanent stoma, and preservation of the normal route of defecation.Keywords Rectal cancer . Sphincter preservation . Total mesorectal excision . Anterior resection . Intersphincteric resection . Local excision rectal cancer Historical BackgroundThe modern era of rectal cancer surgery began with the description of the abdominoperineal resection (APR) by Miles in 1908. Prior perineal and sacral approaches (e.g., Kraske approach) to rectal cancer resection produced high rates of complications, cancer recurrence, poor quality of life (QOL), and poor overall survival. Miles' operation reflected greater understanding of the natural history of rectal cancer that was based on postmortem examination of his patients after perineal resection. He observed cancerous implants in the pelvic peritoneum, mesorectum, and affected nodes of the left common iliac bifurcation. These findings led him to develop a "cylindrical concept" of the spread of rectal cancer to upward, downward, and lateral zones. 1 The original operation included resection of the rectum, sigmoid, mesorectum, nodes of the iliac bifurcation, and a perineal component to include the anus and levator ani muscles. Postoperative mortality was high initially, but local recurrence decreased

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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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Transanal minimally invasive surgery for total mesorectal excision (TAMIS–TME): a stepwise description of the surgical technique with video demonstration

Cited by 107 publications

References 42 publications

A new solution to some old problems: transanal TME

A new solution to some old problems: transanal TME

Sphincter-Sparing Surgery in Patients with Low-Lying Rectal Cancer: Techniques, Oncologic Outcomes, and Functional Results

The role of transanal total mesorectal excision in rectal surgery

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