Robotic transanal minimally invasive surgery for local excision of rectal neoplasms

2014 ◽  
Vol 101 (5) ◽  
pp. 578-581 ◽  
Author(s):  
R. Hompes ◽  
S. M. Rauh ◽  
F. Ris ◽  
J. B. Tuynman ◽  
N. J. Mortensen
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Local Excision ◽  
Invasive Surgery ◽  
Rectal Neoplasms ◽  
Transanal Minimally Invasive Surgery ◽  
Robotic Transanal

scholarly journals Implementation of transanal minimally invasive surgery (TAMIS) for rectal neoplasms: results from a single centre

2021 ◽  
Author(s):  
W. Lossius ◽  
T. Stornes ◽  
T. E. Bernstein ◽  
A. Wibe
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Local Excision ◽  
Invasive Surgery ◽  
Rectal Neoplasms ◽  
Rectal Adenocarcinoma ◽  
Low Risk ◽  
University Hospital ◽  
Rectal Ulcer ◽  
Transanal Minimally Invasive Surgery

Abstract Background Local excisions are important in a tailored approach to treatment of rectal neoplasms. In cases of low risk T1 local excision facilitates rectal-preserving treatment. Transanal minimally invasive surgery (TAMIS) is the most recent alternative developed for local excision. In this study we evaluate the results after implementing TAMIS as the routine procedure for local excision of rectal neoplasms. Methods All patients who underwent TAMIS from January 2016 to January 2020 at St. Olav’s University Hospital were included, and clinical, pathological and oncological data were prospectively registered. The primary endpoint was local recurrence, and the secondary endpoint was complications. Results There were 76 patients (42 men, mean age was 69 years [range 26–88 years]), The mean tumour level was 82 mm (range 20–140 mm) from the anal verge measured on rigid proctoscopy, and mean tumour size was 32 mm (range 8–73 mm). Three patients experienced complications needing intervention (Clavien–Dindo > 3A). Seventeen patients had rectal adenocarcinoma, 9 of whom underwent R0 completion total mesorectal excision (cTME). Fifty-five patients had an adenoma, 3 of whom developed recurrence (5.4%) within 12 months. All recurrences were treated successfully with a new TAMIS procedure. In addition, TAMIS was used in treatment of 2 patients with a neuroendocrine tumour, 1 patient with a haemangioma and 1 patient with a solitary rectal ulcer. Conclusions TAMIS surgery is associated with a low risk of complications and a low recurrence rate in rectal neoplasms. In cases of adenocarcinoma, R0 cTME surgery is feasible in the sub-group with high risk T1 and T2 tumours.

Establishing the learning curve of transanal minimally invasive surgery for local excision of rectal neoplasms

2017 ◽  
Vol 32 (3) ◽  
pp. 1368-1376 ◽  
Author(s):  
Lawrence Lee ◽  
Justin Kelly ◽  
George J. Nassif ◽  
Deborah Keller ◽  
Teresa C. Debeche-Adams ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Learning Curve ◽  
Local Excision ◽  
Invasive Surgery ◽  
Rectal Neoplasms ◽  
Transanal Minimally Invasive Surgery

The effect of proctoring on the learning curve of transanal minimally invasive surgery for local excision of rectal neoplasms

2018 ◽  
Vol 22 (12) ◽  
pp. 965-975 ◽  
Author(s):  
S. H. E. M. Clermonts ◽  
Y. T. van Loon ◽  
J. Stijns ◽  
H. Pottel ◽  
D. K. Wasowicz ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Learning Curve ◽  
Local Excision ◽  
Invasive Surgery ◽  
Rectal Neoplasms ◽  
Transanal Minimally Invasive Surgery
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