Transanal polypectomy using single incision laparoscopic instruments

Abstract

Transanal excision of rectal polyps with laparoscopic instrumentation and a single incision laparoscopic port is a novel technique that uses technology originally developed for abdominal procedures from the natural orifice of the rectum. Transanal endoscopic microsurgery (TEM) is a well established surgical approach for certain benign or early malignant lesions of the rectum, under specific indications. Our technique is a hybrid technique of transanal surgery, a reasonable method for polyp resection without the need of the sophisticated and expensive instrumentation of TEM which can be applied whenever endoscopic or conventional transanal surgical removal is not feasible.

Colonic Foreign Body Retrieval Using a Modified TAMIS Technique with Standard Instruments and Trocars

“…Some have also raised concern about post-TAMIS faecal incontinence with use of the TAMIS 40 mm rigid proctoscope [ 16 ]. Many of these concerns were overcome by using the SILS port (Covidien, Mansfield, MA, USA) to perform TAMIS [ 17 , 18 ]. However, this is a limitation in a resource poor environment such as ours.…”

New Frontiers in Management of Early and Advanced Rectal Cancer

“…Lesions most successfully treated by TAMIS include all lesions (<3 cm) that are typically limited to <30% of the bowel wall circumference. While 3 cm is the recommended size criteria for lesions amenable for TAMIS removal, a small case series demonstrating the success of surgical resection >3 cm has been recorded [ 5 , 6 , 7 , 8 , 9 , 10 ]. TEM and TAMIS involve local excision of the tumor with a full-thickness excision containing the mucosa, submucosa, and muscularis propria.…”

Transanal Endoscopic Microsurgery (TEM) Facilitated by Video‐Assistance and Anal Insertion of a Single‐Incision Laparoscopic Surgery (SILS®)‐Port: Preliminary Experience

“…Transanal excision of rectal adenomas via a laparoscopic single access port device was described for the first time in 2010 by Khoo et al andDemirbas et al (accepted 2010, published 2012) [13,14]. Several case reports [15,16] and case series followed, investigating different laparoscopic single port devices [10,12,[17][18][19].…”