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ORIGINAL ARTICLE
Year : 2020  |  Volume : 3  |  Issue : 2  |  Page : 35-37

Transanal minimally invasive surgery short- and mid-term outcomes


Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Dr. Mohammad Taha Mustafa Sheikh
18/1, Ground Floor, West Patel Nagar, New Delhi - 110 008
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJCS.IJCS_11_20

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Introduction: Transanal minimally invasive surgery (TAMIS) is a very efficient and safe technique for the management of rectal lesions that are large or not amenable to colonoscopic removal. Both benign and malignant lesions can be excised with higher rates of specimen nonfragmentation and margin negativity. Introduced in 2010 by Atallah it has undergone tremendous growth with respect to indications and instrumentation. We present our short- and mid-term experience in this novel technique. Materials and Methods: A retrospective study from September 2016 (when the first TAMIS case was done in our institution) up to February 2020 was carried out. Case records were analyzed and their outpatient follow-up was traced. Results: A total of 20 patients had undergone TAMIS from September 2016 to February 2020. The most common indication for undergoing TAMIS was rectal adenomas in 6 (30%) patients. This was followed by rectal carcinomas in situ or carcinoma suspected in a previously biopsied polyp in 4 (20%) patients. Hyperplastic polyps constituted 4 (20%) of the TAMIS procedures. We also had two patients with juvenile polyposis. There was no specimen fragmentation in any of the specimens. Only one patient had a positive margin and underwent low anterior resection. The final biopsy showed no residual tumor. There were no procedure-related complications. The average hospital stay was 24 h. All procures were done under general anesthesia. Our longest follow-up is 40 months. The mean follow-up was of 16.1 months. There has been no procedure-related complication. None of our patients have recurrence. Conclusion: TAMIS is a safe and effective technique for the management of benign and early rectal cancer lesions of the rectum. Our short- and mid-term outcomes are encouraging to continue using this technique for our patients.


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