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Transanal Rectal Excision: Video Demonstration Of A TAMIS Technique

Transanal Rectal Excision: Video Demonstration Of A TAMIS Technique. Albert M. Wolthuis, MD. Anthony de Buck van Overstraeten, MD. André D’Hoore, MD, PhD. Department of Abdominal Surgery. Problems with laparoscopic distal rectal mobilisation. Visualisation Bony landmarks

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Transanal Rectal Excision: Video Demonstration Of A TAMIS Technique

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  1. Transanal Rectal Excision: Video Demonstration Of A TAMIS Technique Albert M. Wolthuis, MD. Anthony de Buck van Overstraeten, MD. André D’Hoore, MD, PhD. Department of AbdominalSurgery

  2. Problems with laparoscopicdistal rectal mobilisation • Visualisation • Bonylandmarks • Adaptation of instruments

  3. TAMIS: TransAnal Minimally Invasive Surgery • ~TEM/TEO ~TATA, TSPM, MA-NOS, … • Rectal adenoma ‘Bottom-up TME’ • Early rectal cancer ‘Reverse TME’ TAMIS Intraluminal Extraluminal

  4. TAMIS: TransAnal Minimally Invasive Surgery • ~TEM/TEO ~TATA, TSPM, MA-NOS, … • Rectal adenoma ‘Bottom-up TME’ • Early rectal cancer ‘Reverse TME’ TAMIS Intraluminal Extraluminal

  5. 1 2 3 uterus 4 endopelvic fascia Wolthuis et al,Tech Coloproctol. 2012;16:161-165

  6. Manual coloanal anastomosis

  7. Transanal rectal excision • Promising technique • distal rectal mobilisation under direct vision • Future: • Improvement of instruments • Robotics? • NOTES TME

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