Cost analysis of transanal endoscopic microsurgery for rectal tumours

Maslekar, S.; Pillinger, Stephen H.; Sharma, Abhiram; Taylor, Alan C.; Monson, J. R. T.

doi:10.1111/j.1463-1318.2006.01132.x

Cited by 100 publications

(52 citation statements)

References 10 publications

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“…In long-term followup, the modality of TEM excision of rectal tumors has proven to be safe and effective, with morbidity and mortality similar to that of conventional transanal excision [6-10]. However, although TEM has been in use for more than 20 years, it has been slow to become universally adopted by colorectal surgeons, in part because of a steep learning curve, but also because of the significant cost of the highly specialized instrumentation [11,12].Technology continues to undergo rapid evolution. In parallel, the surgeon's minimally invasive surgery skill has matched this advancement.…”

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confidence: 99%

Transanal minimally invasive surgery: a giant leap forward

2010

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Transanal minimally invasive surgery: a giant leap forward

2010

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“…La técnica TAMIS (Trans Anal Minimally Invasive Surgery) fue inicialmente descrita en el año 2009, y surgió como un abordaje híbrido para lograr la resección endoluminal de lesiones rectales bien seleccionadas 3 , planteándose como alternativa más económica al uso del TEM, e inicialmente facilitada por la existencia de dos dispositivos para el acceso endoanal, GelPOINT Path (Applied Medical, Rancho Santa Margarita, CA) y SILS ® Port (Covidien, Mansfield, MA), ambas recientemente aprobadas por la Food and Drug Administration (FDA) para su uso en TAMIS 4 . Comparado con la RL, el TEM entrega una mejor calidad de excisión, una imagen magnificada, permitiendo una visión óptima de las lesiones, facilitando una disección más precisa 5 , una menor tasa de recurrencia local y mejor sobrevida en pacientes portadores de adenocarcinoma de recto bien diferenciado 6 . Estudios han demostrado que la resección mediante TEM es segura y efectiva, pero su adopción como técnica ha sido lenta por razones expuestas 3 .…”

Section: Introductionunclassified

Cirugía Transanal Por Puerto Único Para La Resección Local De Lesiones De Recto

Sch

et al. 2014

Rev Chil Cir

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Single port transanal excision for local treatment of rectal lesionsBackground: Since 2009, transanal minimally invasive surgery (TAMIS) is increasingly used as an alternative to local excision and transanal microscopic excision (TEM) for rectal lesions located in the mid and superior third. The clinical benefits of the technique are being evaluated. Aim: To establish the feasibility, quality of excision and short term results of single port transanal excision for rectal lesions. Patients and Methods: Analysis of a prospective series of patients subjected to single port transanal excision. Patients had benign or malignant lesions located in the mid or superior third of the rectum. Those with a diagnosis of adenocarcinoma were excluded. Results: The transanal resection using the SILS Port ® was completed in 11 patients aged 21 to 86 years (eight women). The American Society of Anesthesiologists (ASA) classification of patients was two and their body mass index was 24 ± 3.1 kg/m 2 . The lesion distance from the anal margin ranged from 5 to 10 cm. The surgical time was 47 min and hospital stay was 2.8 days. One patient was converted to conventional transanal surgery and two patients had self-limited episode of hematochezia. Conclusions: TAMIS is a feasible technique and with promising results in selected patients.

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“…Nevertheless, it has been proven to be cost-effective when compared to open resection in high volume centers, mainly driven by the shorter hospital stay. [5][6][7] The second rigid platform is the transanal endoscopic operation (TEO; Karl Storz, Tuttlingen, Germany). This less-expensive alternative allows surgeons to use standard laparoscopic instruments, including a 5 mm 30° laparoscope and overall laparoscopy setup, making this platform more affordable, and may be more attractive for surgeons with prior laparoscopic experience.…”

Section: Rigid Platformsmentioning

confidence: 99%

Transanal endoscopic surgery: patient selection and perspectives

Petrucci

Sands

2016

OAS

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Abstract:Transanal endoscopic surgery is a 30-year innovation, which has allowed surgeons to treat patients with benign and early malignant rectal tumors using a minimally invasive approach. Its use in colorectal surgery continues to expand and be of interest for surgeons practicing in the minimally invasive surgical era. This review provides an overview of transanal endoscopic surgery, focusing on its different platforms, learning curve, and specific indications for benign and malignant diseases of the rectum. It reviews patient selection, with a focus on patient-and tumor-specific characteristics involved in the selection process, preparation for surgery, complications, and outcomes. Lastly, it reviews novel uses for transanal endoscopic surgery and future prospects.

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Cost analysis of transanal endoscopic microsurgery for rectal tumours

Abstract: This study has shown that TEM is a safe and extremely cost-effective approach for excision of selected rectal tumours including rectal adenomas and early well differentiated rectal cancers (pTis & pT1).

Cited by 100 publications

References 10 publications

Transanal minimally invasive surgery: a giant leap forward

Transanal minimally invasive surgery: a giant leap forward

Cirugía Transanal Por Puerto Único Para La Resección Local De Lesiones De Recto

Transanal endoscopic surgery: patient selection and perspectives

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