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Clin Colon Rectal Surg 2022; 35(02): 093-098
DOI: 10.1055/s-0041-1742108
Review Article

Transanal Endoscopic Platforms: TAMIS versus Rigid Platforms: Pros and Cons

Liam A. Devane
1   Department of Colorectal Surgery, Beaumont Hospital, Dublin, Ireland
,
Meghan C. Daly
2   AdventHealth, Digestive Health and Surgical Institute, Department of Colorectal Surgery, Orlando, FL
,
Matthew R. Albert
2   AdventHealth, Digestive Health and Surgical Institute, Department of Colorectal Surgery, Orlando, FL
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Abstract

Transanal endoscopic surgery encompasses the minimally invasive surgical techniques used to operate in the rectum under magnification while maintaining pneumorectum via a resectoscope or port. The view, magnification, and surgical precision afforded by these advanced transanal techniques have resulted in excellent specimen quality and low recurrence rates, especially compared with traditional transanal surgery. For rigid platforms, the surgeon operates through a rigid 4-cm diameter steel proctoscope of varying lengths that is clamped to the operating table with an articulating arm. Transanal minimally invasive surgery (TAMIS) is a newer flexible platform using a disposable port which “hooks” into the anorectal ring to remain in place. The cost-effectiveness and versatility of the TAMIS platform have resulted in its popularity and use in more advanced applications such as transanal total mesorectal excision. Ultimately, the choice of operating platform should be based on surgeon preference, patient characteristics, availability, and cost. The pros and cons of each platform will be discussed in this article.

Keywords

transanal endoscopic surgery - TAMIS - TEM - TEO


Publication History

Article published online:
28 February 2022

© 2022. Thieme. All rights reserved.

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  • References

  • 1 Buess G, Hutterer F, Theiss J, Böbel M, Isselhard W, Pichlmaier H. [A system for a transanal endoscopic rectum operation]. Chirurg 1984; 55 (10) 677-680
    PubMedGoogle Scholar
  • 2 Atallah S, Albert M, Larach S. Transanal minimally invasive surgery: a giant leap forward. Surg Endosc 2010; 24 (09) 2200-2205
    CrossrefPubMedGoogle Scholar
  • 3 Clancy C, Burke JP, Albert MR, O'Connell PR, Winter DC. Transanal endoscopic microsurgery versus standard transanal excision for the removal of rectal neoplasms: a systematic review and meta-analysis. Dis Colon Rectum 2015; 58 (02) 254-261
    CrossrefPubMedGoogle Scholar
  • 4 Atallah S, Keller D. Why the conventional parks transanal excision for early stage rectal cancer should be abandoned. Dis Colon Rectum 2015; 58 (12) 1211-1214
    CrossrefPubMedGoogle Scholar
  • 5 McLemore EC, Weston LA, Coker AM. et al. Transanal minimally invasive surgery for benign and malignant rectal neoplasia. Am J Surg 2014; 208 (03) 372-381
    CrossrefPubMedGoogle Scholar
  • 6 Maslekar S, Pillinger SH, Sharma A, Taylor A, Monson JR. Cost analysis of transanal endoscopic microsurgery for rectal tumours. Colorectal Dis 2007; 9 (03) 229-234
    CrossrefPubMedGoogle Scholar
  • 7 Barendse RM, Doornebosch PG, Bemelman WA, Fockens P, Dekker E, de Graaf EJR. Transanal employment of single access ports is feasible for rectal surgery. Ann Surg 2012; 256 (06) 1030-1033
    CrossrefPubMedGoogle Scholar
  • 8 Adamina M, Buchs NC, Penna M, Hompes R. St.Gallen Colorectal Consensus Expert Group. St.Gallen consensus on safe implementation of transanal total mesorectal excision. Surg Endosc 2018; 32 (03) 1091-1103
    CrossrefPubMedGoogle Scholar
  • 9 Burke JP, Albert M. Transanal minimally invasive surgery (TAMIS): pros and cons of this evolving procedure. Semin Colon Rectal Surg 2015; 26 (01) 36-40 DOI: 10.1053/j.scrs.2014.10.009.
    CrossrefPubMedGoogle Scholar
  • 10 Albert MR, Atallah SB, deBeche-Adams TC, Izfar S, Larach SW. Transanal minimally invasive surgery (TAMIS) for local excision of benign neoplasms and early-stage rectal cancer: efficacy and outcomes in the first 50 patients. Dis Colon Rectum 2013; 56 (03) 301-307
    CrossrefPubMedGoogle Scholar
  • 11 Waheed A, Miles A, Kelly J, Monson JRT, Motl JS, Albert M. Insufflation stabilization bag (ISB): a cost-effective approach for stable pneumorectum using a modified CO2 insufflation reservoir for TAMIS and taTME. Tech Coloproctol 2017; 21 (11) 897-900
    CrossrefPubMedGoogle Scholar
  • 12 Bislenghi G, Wolthuis AM, de Buck van Overstraeten A, D'Hoore A. AirSeal system insufflator to maintain a stable pneumorectum during TAMIS. Tech Coloproctol 2015; 19 (01) 43-45
    CrossrefPubMedGoogle Scholar
  • 13 Kipfmüller K, Buess G, Naruhn M, Junginger T. Training program for transanal endoscopic microsurgery. Surg Endosc 1988; 2 (01) 24-27
    CrossrefPubMedGoogle Scholar
  • 14 Barendse RM, Dijkgraaf MG, Rolf UR. et al. Colorectal surgeons' learning curve of transanal endoscopic microsurgery. Surg Endosc 2013; 27 (10) 3591-3602
    CrossrefPubMedGoogle Scholar
  • 15 Saclarides TJ. Transanal endoscopic microsurgery: a single surgeon's experience. Arch Surg 1998; 133 (06) 595-598 , discussion 598–599
    CrossrefPubMedGoogle Scholar
  • 16 Helewa RM, Rajaee AN, Raiche I. et al. The implementation of a transanal endoscopic microsurgery programme: initial experience with surgical performance. Colorectal Dis 2016; 18 (11) 1057-1062
    CrossrefPubMedGoogle Scholar
  • 17 Maya A, Vorenberg A, Oviedo M, da Silva G, Wexner SD, Sands D. Learning curve for transanal endoscopic microsurgery: a single-center experience. Surg Endosc 2014; 28 (05) 1407-1412
    CrossrefPubMedGoogle Scholar
  • 18 Hur H, Bae SU, Han YD. et al. Transanal endoscopic operation for rectal tumor: short-term outcomes and learning curve analysis. Surg Laparosc Endosc Percutan Tech 2016; 26 (03) 236-243
    CrossrefPubMedGoogle Scholar
  • 19 Clermonts SHEM, van Loon YT, Stijns J, Pottel H, Wasowicz DK, Zimmerman DDE. The effect of proctoring on the learning curve of transanal minimally invasive surgery for local excision of rectal neoplasms. Tech Coloproctol 2018; 22 (12) 965-975
    CrossrefPubMedGoogle Scholar
  • 20 Lee L, Kelly J, Nassif GJ. et al. Establishing the learning curve of transanal minimally invasive surgery for local excision of rectal neoplasms. Surg Endosc 2018; 32 (03) 1368-1376
    CrossrefPubMedGoogle Scholar
  • 21 Lee L, Kelly J, Nassif GJ, deBeche-Adams TC, Albert MR, Monson JRT. Defining the learning curve for transanal total mesorectal excision for rectal adenocarcinoma. Surg Endosc 2020; 34 (04) 1534-1542
    CrossrefPubMedGoogle Scholar
  • 22 Sylla P, Rattner DW, Delgado S, Lacy AM. NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surg Endosc 2010; 24 (05) 1205-1210
    CrossrefPubMedGoogle Scholar
  • 23 Penna M, Hompes R, Arnold S. et al; TaTME Registry Collaborative. Transanal total mesorectal excision: international registry results of the first 720 cases. Ann Surg 2017; 266 (01) 111-117
    CrossrefPubMedGoogle Scholar
  • 24 Lee L, Edwards K, Hunter IA. et al. Quality of local excision for rectal neoplasms using transanal endoscopic microsurgery versus transanal minimally invasive surgery: a multi-institutional matched analysis. Dis Colon Rectum 2017; 60 (09) 928-935
    CrossrefPubMedGoogle Scholar
  • 25 Melin AA, Kalaskar S, Taylor L, Thompson JS, Ternent C, Langenfeld SJ. Transanal endoscopic microsurgery and transanal minimally invasive surgery: is one technique superior?. Am J Surg 2016; 212 (06) 1063-1067
    CrossrefPubMedGoogle Scholar
  • 26 Mege D, Bridoux V, Maggiori L, Tuech JJ, Panis Y. What is the best tool for transanal endoscopic microsurgery (TEM)? A case-matched study in 74 patients comparing a standard platform and a disposable material. Int J Colorectal Dis 2017; 32 (07) 1041-1045
    CrossrefPubMedGoogle Scholar
  • 27 Van den Eynde F, Jaekers J, Fieuws S, D'Hoore AM, Wolthuis AM. TAMIS is a valuable alternative to TEM for resection of intraluminal rectal tumors. Tech Coloproctol 2019; 23 (02) 161-166
    CrossrefPubMedGoogle Scholar
  • 28 Mora López L, Serra Aracil X, Hermoso Bosch J, Rebasa P, Navarro Soto S. Study of anorectal function after transanal endoscopic surgery. Int J Surg 2015; 13: 142-147
    CrossrefPubMedGoogle Scholar
  • 29 Mora López L, Serra-Aracil X, Navarro Soto S. Sphincter lesions observed on ultrasound after transanal endoscopic surgery. World J Gastroenterol 2015; 21 (46) 13160-13165
    CrossrefPubMedGoogle Scholar
  • 30 Karakayali FY, Tezcaner T, Moray G. Anorectal function and outcomes after transanal minimally invasive surgery for rectal tumors. J Minim Access Surg 2015; 11 (04) 257-262
    CrossrefPubMedGoogle Scholar
  • 31 Marinello FG, Curell A, Tapiolas I, Pellino G, Vallribera F, Espin E. Systematic review of functional outcomes and quality of life after transanal endoscopic microsurgery and transanal minimally invasive surgery: a word of caution. Int J Colorectal Dis 2020; 35 (01) 51-67
    CrossrefPubMedGoogle Scholar