Techniques in Coloproctology

, Volume 17, Issue 3, pp 321–325 | Cite as

Transanal minimally invasive surgery for total mesorectal excision (TAMIS–TME): a stepwise description of the surgical technique with video demonstration

  • S. AtallahEmail author
  • M. Albert
  • T. deBeche-Adams
  • G. Nassif
  • H. Polavarapu
  • S. Larach
Multimedia Article


Transanal minimally invasive surgery (TAMIS), which can provide high-quality local excision for rectal neoplasia, has emerged as an important alternative to transanal endoscopic microsurgery. The role of TAMIS beyond local excision has also been explored, and it has been shown that this platform can be used for complete rectal resection with total mesorectal excision (TME). The stepwise approach to TAMIS for TME is described and illustrated in video format.


Transanal minimally invasive surgery Rectal neoplasia Rectal resection Total mesorectal excision 



The authors received no funding for this study, and the research was not supported by any grants or other funding. Drs. Atallah, Albert, deBeche-Adams, and Larach are paid consultants for Applied Medical, Inc.

Conflict of interest


Supplementary material

Supplementary material 1 (MOV 349965 kb)


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Copyright information

© Springer-Verlag Italia 2013

Authors and Affiliations

  • S. Atallah
    • 1
    Email author
  • M. Albert
    • 1
  • T. deBeche-Adams
    • 1
  • G. Nassif
    • 1
  • H. Polavarapu
    • 1
  • S. Larach
    • 1
  1. 1.Florida HospitalWinter ParkUSA

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