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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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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container_end_page 232
container_issue 3
container_start_page 225
container_title Chirurg
container_volume 87
creator Rink, A D
Kauff, D W
Paschold, M
Vestweber, K-H
Lang, H
Kneist, W
description 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
doi_str_mv 10.1007/s00104-015-0043-7
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This prospective observational study was conducted to examine the safety of the technique and the quality of TME surgery in distal rectal cancer and to assess the short-term postoperative outcome. The median age of patients (18 male and 6 female) at the time of surgery was 57 years (range 35-77 years) and 7 patients (29 %) had a body mass index (BMI) &gt; 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 &lt;1 mm-30 mm) and in 2 patients the tumor was ≤ 1 mm from the positive circumferential margin. A colonic reservoir was created in 19 patients (79 %) and no 30-day mortalities occurred. 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source Alma/SFX Local Collection
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
title Hybrid TAMIS total mesorectal excision. A new perspective in treatment of distal rectal cancer - Technique and results
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