T. Slack MBBS, FRACS; S. Wong FRACS, MS; M. Muhlmann MBBS (Hons), FRACS.
Transanal minimally invasive surgery: an initial experience
Version of Record online: 29 OCT 2012
© 2012 The Authors. ANZ Journal of Surgery © 2012 Royal Australasian College of Surgeons
ANZ Journal of Surgery
Volume 84, Issue 3, pages 177–180, March 2014
How to Cite
Slack, T., Wong, S. and Muhlmann, M. (2014), Transanal minimally invasive surgery: an initial experience. ANZ Journal of Surgery, 84: 177–180. doi: 10.1111/j.1445-2197.2012.06320.x
- Issue online: 4 MAR 2014
- Version of Record online: 29 OCT 2012
- Manuscript Accepted: 16 SEP 2012
- transanal resection
Transanal minimally invasive surgery (TAMIS) is a novel approach used for the resection of rectal lesions. The purpose of this study was to review our initial experience with TAMIS.
Between March 2012 and May 2012, we collected clinical data on patients who underwent the TAMIS procedure. This included patient demographics, tumour characteristics, operative technique, histological results and post-operative outcomes.
Three patients successfully underwent TAMIS resection of rectal lesions. All tumours were tubulovillous adenomas with high-grade dysplasia, with one also having a small focus of adenocarcinoma. Clear margins were achieved in all cases. One case was complicated by a post-operative bleed, requiring a return to theatre.
TAMIS is a feasible and cost-effective alternative to transanal endoscopic microsurgery for resection of rectal lesions. It may have a shorter learning curve, especially for laparoscopic surgeons already proficient in single-port procedures.