Laparoscopic transanal minimally invasive surgery (L-TAMIS) versus robotic TAMIS (R-TAMIS): short-term outcomes and costs of a comparative study

Lee, Sung G.; Russ, Andrew; Casillas, Mark A.

doi:10.1007/s00464-018-6502-8

Cited by 35 publications

(69 citation statements)

References 22 publications

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“…Overall, the available studies do not show a clear superiority of TAMIS over TEM, especially in terms of resection quality, which appear similar. However, several technical advantages making TAMIS preferable are reported in the literature [1,2,13] . In particular, the use of a shorter shaft and a more flexible platform allows surgeons to reach all quadrants of the rectum, and to perform surgery in lithotomy position also in the case of anterior or lateral lesions.…”

Section: Tamis Vs Temmentioning

confidence: 99%

“…A full thickness resection was performed and the wall defect was closed using a running barbed suture. However, already in this first case report, the authors underlined the high direct cost of the procedure, $1500, and suggested the use of (R-TAMIS) in complex cases where TEM or conventional TAMIS, often indicated as laparoscopic TAMIS (L-TAMIS) [2] , were not possible.…”

Section: Robotic Transanal Surgerymentioning

confidence: 99%

“…Since 2012, several studies reporting the outcomes of R-TAMIS were published, but they included many case reports and small series of patients [2,[35][36][37][38][39][40][41] . The largest series was published by Tommasi et al [40] in 2019 and included overall 58 patients.…”

Section: Robotic Transanal Surgerymentioning

confidence: 99%

“…This technique was performed under direct view using a rigid anoscope and conventional surgical instruments. However, inadequate exposure was quite usual, especially when lesions were located in the middle or upper rectum, which frequently appeared inaccessible [1,2] . That often compromised the quality of surgical resection [1,2] , with a rate of positive margins higher than 10% even in the series of the most experienced surgeons [3,4] .…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, the necessary surgical material was expensive and the learning curve long. Hence, the implementation of TEM remained limited [1,2] .…”

Section: Introductionmentioning

confidence: 99%

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Robotic transanal surgery: perspectives for application

Genova¹,

Méméo²,

Brunetti³

2020

MIS

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Transanal minimally invasive surgery (TAMIS) is a surgical technique which allows the local excision of rectal benign tumors and early stage cancers measuring up to 4 cm and lying within 6-8 cm from the anal verge. It is performed by means of a disposable transanal platform and conventional laparoscopic instruments, proving to be effective and easily available. Hence, TAMIS soon became a valid alternative to other transanal resective procedures, especially transanal endoscopic microsurgery, and rapidly spread. Moreover, soon after its introduction, TAMIS started to be performed also using robotic technologies, but no clear advantages were found to date. This review is intended to provide a general overview on TAMIS, with a special focus on its association with robotic systems and the perspectives of this approach.

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Section: Tamis Vs Temmentioning

confidence: 99%

Section: Robotic Transanal Surgerymentioning

confidence: 99%

Section: Robotic Transanal Surgerymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Moreover, the necessary surgical material was expensive and the learning curve long. Hence, the implementation of TEM remained limited [1,2] .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Robotic transanal surgery: perspectives for application

Genova¹,

Méméo²,

Brunetti³

2020

MIS

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Transanal minimally invasive surgery for rectal cancer

Devane

Burke

Kelly

et al. 2020

Annals of Gastroent Surgery

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Due to the increased uptake of rectal cancer screening and the increasing rates of complete clinical response to chemoradiotherapy, more early‐stage and down‐staged rectal cancers are being treated. This has triggered surgeons to question the necessity for proctectomy and its associated morbidity and consider local excision and organ preservation in selected cases. Transanal minimally invasive surgery (TAMIS) has evolved as an oncologically safe yet cost‐effective platform for local excision of rectal tumors using traditional laparoscopic instruments. This review highlights the recent advances and current role of TAMIS in the treatment of rectal cancer.

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Flexible robotic transanal resection of rectal polyps – A case series

Fok

Arabaci

Barto

2022

Robotics Computer Surgery

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Background: Flexible systems in robotic transanal surgery (RTA) are a proposed solution to the challenges of transanal minimally invasive surgery (TAMIS). RTA was performed with the Medrobotics Flex ® Robotics System to determine its safety and feasibility.Methods: Medrobotics Flex ® Robotics System was used for transanal resection of benign rectal polyps by a single surgeon in a tertiary centre, and cases retrospectively reviewed.Results: Five patients underwent flexible RTA, average age was 67 years. Polyps were between 5 and 12 o'clock, mean distance of 8.3 cm from the anal verge.Average operating time was 143 min. There was no peri-operative or 30-day morbidity or mortality. Histopathology included tubulovillous adenoma (TVA), and one hyperplastic polyp, all were clear of the surgical margin. Conclusion:This is the first case series using Medrobotics Flex ® Robotics System for RTA in a tertiary Australian public hospital. Flexible RTA is safe and feasible for the resection of benign rectal polyps.

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Laparoscopic transanal minimally invasive surgery (L-TAMIS) versus robotic TAMIS (R-TAMIS): short-term outcomes and costs of a comparative study

Cited by 35 publications

References 22 publications

Robotic transanal surgery: perspectives for application

Robotic transanal surgery: perspectives for application

Transanal minimally invasive surgery for rectal cancer

Flexible robotic transanal resection of rectal polyps – A case series

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