Transanal Minimally Invasive Surgery for Local Excision

  • Matthew R. Wilson
  • Sam AtallahEmail author
  • George J. NassifJr


  1. 1.

    Proper patient selection with appropriate rectal lesions for TAMIS.

  2. 2.

    Patient positioning in high lithotomy position under general anesthesia.

  3. 3.

    Access the distal rectum with transanal multichannel port and establishment of pneumorectum.

  4. 4.

    Mark out appropriate resection margin of target lesion.

  5. 5.

    Excision of lesion beginning with distal margin and performing submucosal or full-thickness resection.

  6. 6.

    Closure of rectal defect.


Supplementary material

Video 20.1

Demonstration of billowing and smoke evacuation (M4V 28321 kb)

Video 20.2

Control of bleeding (M4V 9957 kb)

Video 20.3

Full procedure, edited (MP4 168846 kb)


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Matthew R. Wilson
    • 1
  • Sam Atallah
    • 1
    Email author
  • George J. NassifJr
    • 1
  1. 1.Department of Colon & Rectal SurgeryFlorida HospitalWinter ParkUSA

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