scholarly journals The first robotic transanal minimally invasive surgery in Ireland: a case-based review

Author(s):  
Enda Hannan ◽  
Gerard Feeney ◽  
Mohammad Fahad Ullah ◽  
Kamran Amin ◽  
John Calvin Coffey ◽  
...  

AbstractTransanal minimally invasive surgery (TAMIS) has gained worldwide acceptance as a means of local excision of early rectal cancers and benign rectal lesions. However, it is technically challenging due to the limitations of rigid laparoscopic instruments in the narrow rectal lumen. Robotic platforms offer improved ergonomics that are valuable in operative fields with limited space. Robotic TAMIS represents an exciting new development that may be more versatile than traditional TAMIS. In this review, we describe the first case of robotic TAMIS performed in our country and a review of current literature on the technique.

2021 ◽  
Vol 39 ◽  
Author(s):  
Justin Brady ◽  
◽  
Shanna Sprinkle ◽  
Seema Izfar ◽  
Matthew Albert ◽  
...  

Colorectal cancer remains the 3rd most common cancer diagnosed among men and women in the United States. With improved screening, premalignant rectal lesions and rectal cancers are being detected at earlier stages. In addition, the use of neoadjuvant chemo- and radiotherapy has led to downstaging of larger lesions. There is growing interest among colorectal surgeons in local excision with organ preservation for patients with rectal cancer. There are multiple platforms for local excision of rectal cancers, including transanal excision (TAE), transanal endoscopic microsurgery (TEM) and transanal minimally invasive surgery (TAMIS). TAMIS was developed as an affordable platform that uses conventional laparoscopic equipment familiar to many colorectal surgeons. TAMIS allows for full-thickness benign or malignant lesion excision in any quadrant without the need for patient repositioning. The literature has shown that, for appropriately selected patients, TAMIS provides superior excision quality compared to TAE. Furthermore, TAMIS has oncologic outcomes equivalent to TEM at a fraction of the cost. Recently, robotic TAMIS has been introduced, which takes advantage of the articulating instruments of the robotic platform without the need for a skilled assistant. This article will cover multiple technical aspects for TAMIS including patient selection and preparation, technical tips for successful excision and defect closure, and recent advances, including robotic TAMIS.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
John H. Marks ◽  
Emily Kunkel ◽  
Jean F. Salem ◽  
Charles Martin ◽  
Brigitte Anderson ◽  
...  

2014 ◽  
Vol 101 (5) ◽  
pp. 578-581 ◽  
Author(s):  
R. Hompes ◽  
S. M. Rauh ◽  
F. Ris ◽  
J. B. Tuynman ◽  
N. J. Mortensen

2019 ◽  
Vol 62 (3) ◽  
pp. 279-285 ◽  
Author(s):  
Marco J. Tomassi ◽  
Janos Taller ◽  
Robert Yuhan ◽  
Joseph H. Ruan ◽  
Daniel D. Klaristenfeld

2020 ◽  
Vol 63 (7) ◽  
pp. 1001-1006
Author(s):  
Monika A. Krezalek ◽  
Nicolas Contreras-Peraza ◽  
Maile E. Parker ◽  
Scott R. Kelley ◽  
Kevin T. Behm

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