Hybrid TAMIS total mesorectal excision. A new perspective in treatment of distal rectal cancer - Technique and results

Transanal minimally invasive surgery (TAMIS) represents a promising technique for total mesorectal excision (TME) with respect to radicalness and preservation of function. There are only few publications in the literature describing results in patients with distal rectal cancer. Between May 2013 and...

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Bibliographic Details
Published in:Chirurg 2016-03, Vol.87 (3), p.225-232
Main Authors: Rink, A D, Kauff, D W, Paschold, M, Vestweber, K-H, Lang, H, Kneist, W
Format: Article
Language:ger
Subjects:
Adult
Aged
Anastomosis, Surgical - methods
Colonic Pouches
Combined Modality Therapy
Female
Humans
Laparoscopy - methods
Male
Middle Aged
Minimally Invasive Surgical Procedures - methods
Postoperative Complications - etiology
Proctoscopy - methods
Rectal Neoplasms - mortality
Rectal Neoplasms - pathology
Rectal Neoplasms - surgery
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Summary:Transanal minimally invasive surgery (TAMIS) represents a promising technique for total mesorectal excision (TME) with respect to radicalness and preservation of function. There are only few publications in the literature describing results in patients with distal rectal cancer. Between May 2013 and March 2015, 24 selected patients with a rectal carcinoma  30 kg/m(2). Specimen excision was carried out transanally in 19 patients. Pathological grading of TME specimens was good in 22 (92 %) and moderate in 2 cases. After neoadjuvant radiochemotherapy a complete pathological remission was identified in five patients. The median distal resection margin was 7 mm (range 2-30 mm), the median circumferential resection margin was 6 mm (range
ISSN:1433-0385
DOI:10.1007/s00104-015-0043-7