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TAMIS: Current Controversies and Challenges

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Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME)

Abstract

Transanal minimally invasive surgery (TAMIS) is becoming an increasingly utilized option, providing an alternative to transanal endoscopic microsurgery (TEM) for transanal excision of both rectal adenomas and early rectal cancer. However, there are multiple controversies about the benefits and limitations of TAMIS, particularly with regard to tumor location, peritoneal entry, fecal incontinence, rectal stenosis, and sleeve resection of large lesions. Given the relatively recent and limited experience with TAMIS as compared to TEM, published data on this platform and technique is more limited, with no prospective series that compare the two approaches directly. What is known about the current controversies regarding TAMIS will be summarized in this chapter.

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References

  1. Martin-Perez B, Andrade-Ribeiro GD, Hunter L, Atallah S. A systematic review of Transanal Minimally Invasive Surgery (TAMIS) from 2010 to 2013. Tech Coloproctol. 2014;18:775–88.

    Article  CAS  Google Scholar 

  2. Hahnloser D, Cantero R, Salgado G, Dindo D, Rega D, Delrio P. Transanal minimal invasive surgery for rectal lesions: should the defect be closed? Color Dis. 2015;17:397–402.

    Article  CAS  Google Scholar 

  3. Lee T-G, Lee S-J. Transanal single-port microsurgery for rectal tumors: minimal invasive surgery under spinal anesthesia. Surg Endosc. 2014;28:271–80.

    Article  Google Scholar 

  4. Ragupathi M, Vande Maele D, Nieto J, Pickron TB, Haas EM. Transanal Endoscopic Video-Assisted (TEVA) excision. Surg Endosc. 2012;26:3528–35.

    Article  Google Scholar 

  5. 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;256:1030–3.

    Article  Google Scholar 

  6. van den Boezem PB, Kruyt PM, Stommel MWJ, Tobon Morales R, Cuesta MA, Sietses C. Transanal single-port surgery for the resection of large polyps. Dig Surg. 2011;28:412–6.

    Article  Google Scholar 

  7. Lorenz C, Nimmesgern T, Langwieler TE. Transanal endoscopic surgery using different single-port devices. Surg Technol Int. 2011;21:107–11.

    PubMed  Google Scholar 

  8. 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;56:301–7.

    Article  Google Scholar 

  9. Bridoux V, Schwarz L, Suaud L, Dazza M, Michot F, Tuech J-J. Transanal minimal invasive surgery with the endorec(TM) trocar: a low cost but effective technique. Int J Color Dis. 2014;29:177–81.

    Article  Google Scholar 

  10. Lee L, Edwards K, Hunter IA, Hartley JE, Atallah SB, Albert MR, 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;60:928–35.

    Article  Google Scholar 

  11. McLemore EC, Weston LA, Coker AM, Jacobsen GR, Talamini MA, Horgan S, et al. Transanal minimally invasive surgery for benign and malignant rectal neoplasia. Am J Surg. 2014;208:372–81.

    Article  Google Scholar 

  12. Schiphorst AHW, Langenhoff BS, Maring J, Pronk A, Zimmerman DDE. Transanal minimally invasive surgery: initial experience and short-term functional results. Dis Colon Rectum. 2014;57:927–32.

    Article  Google Scholar 

  13. Caycedo-Marulanda A, Jiang HY, Kohtakangas EL. Transanal minimally invasive surgery for benign large rectal polyps and early malignant rectal cancers: experience and outcomes from the first Canadian Centre to adopt the technique. Can J Surg. 2017;60:416–23.

    Article  Google Scholar 

  14. Lee L, Burke JP, deBeche-Adams T, Nassif G, Martin-Perez B, Monson JRT, Albert MR, Atallah SB. Transanal minimally invasive surgery for local excision of benign and malignant rectal neoplasia: outcomes from 200 consecutive cases with midterm follow up. Ann Surg. 2018;267(5):910–6. https://doi.org/10.1097/SLA.0000000000002190.

    Article  Google Scholar 

  15. São Julião GP, Celentano JP, Alexandre FA, Vailati BB. Local excision and endoscopic resections for early rectal cancer. Clin Colon Rectal Surg. 2017;30:313–23.

    Article  Google Scholar 

  16. Serra-Aracil X, Gràcia R, Mora-López L, Serra-Pla S, Pallisera-Lloveras A, Labró M, et al. How to deal with rectal lesions more than 15 cm from the anal verge through transanal endoscopic microsurgery. Am J Surg. 2019;217(1):53–8.

    Article  Google Scholar 

  17. Serra-Aracil X, Mora-Lopez L, Alcantara-Moral M, Caro-Tarrago A, Navarro-Soto S. Transanal Endoscopic Microsurgery with 3-D (TEM) or high-definition 2-D Transanal Endoscopic Operation (TEO) for rectal tumors. A prospective, randomized clinical trial. Int J Color Dis. 2014;29:605–10.

    Article  Google Scholar 

  18. Serra-Aracil X, Mora-Lopez L, Alcantara-Moral M, Caro-Tarrago A, Gomez-Diaz CJ, Navarro-Soto S. Transanal endoscopic surgery in rectal cancer. World J Gastroenterol. 2014;20:11538–45.

    Article  Google Scholar 

  19. Thompson E, Bleier J. Transanal minimally invasive surgery. Clin Colon Rectal Surg. 2017;30:112–9.

    Article  Google Scholar 

  20. DeBeche-Adams T, Nassif G. Transanal minimally invasive surgery. Clin Colon Rectal Surg. 2015;28:176–80.

    Article  Google Scholar 

  21. Bignell MB, Ramwell A, Evans JR, Dastur N, Simson JNL. Complications of Transanal Endoscopic Microsurgery (TEMS): a prospective audit. Color Dis. 2010;12:e99–103.

    CAS  Google Scholar 

  22. Gavagan JA, Whiteford MH, Swanstrom LL. Full-thickness intraperitoneal excision by transanal endoscopic microsurgery does not increase short-term complications. Am J Surg. 2004;187:630–4.

    Article  Google Scholar 

  23. Mege D, Petrucciani N, Maggiori L, Panis Y. Peritoneal perforation is less a complication than an expected event during transanal endoscopic microsurgery: experience from 194 consecutive cases. Tech Coloproctol. 2017;21:729–36.

    Article  CAS  Google Scholar 

  24. Allaix ME, Arezzo A, Caldart M, Festa F, Morino M. Transanal endoscopic microsurgery for rectal neoplasms: experience of 300 consecutive cases. Dis Colon Rectum. 2009;52:1831–6.

    Article  Google Scholar 

  25. Barendse RM, Dijkgraaf MG, Rolf UR, Bijnen AB, Consten ECJ, Hoff C, et al. Colorectal surgeons’ learning curve of transanal endoscopic microsurgery. Surg Endosc. 2013;27:3591–602.

    Article  Google Scholar 

  26. Morino M, Allaix ME, Famiglietti F, Caldart M, Arezzo A. Does peritoneal perforation affect short- and long-term outcomes after transanal endoscopic microsurgery? Surg Endosc. 2013;27:181–8.

    Article  Google Scholar 

  27. Salm R, Lampe H, Bustos A, Matern U. Experience with TEM in Germany. Endosc Surg Allied Technol. 1994;2:251–4.

    Google Scholar 

  28. 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 Color Dis. 2017;32:1041–5.

    Article  Google Scholar 

  29. Molina G, Bordeianou L, Shellito P, Sylla P. Transanal endoscopic resection with peritoneal entry: a word of caution. Surg Endosc. 2016;30(5):1816–25.

    Article  Google Scholar 

  30. Rimonda R, Arezzo A, Arolfo S, Salvai A, Morino M. TransAnal Minimally Invasive Surgery (TAMIS) with SILSTM port versus Transanal Endoscopic Microsurgery (TEM): a comparative experimental study. Surg Endosc Other Interv Tech. 2013;27:3762–8.

    Article  Google Scholar 

  31. Atallah SB, Albert MR. Transanal Minimally Invasive Surgery (TAMIS) versus Transanal Endoscopic Microsurgery (TEM): is one better than the other? Surg Endosc. 2013;27:4750–1.

    Article  Google Scholar 

  32. Keller DS, Tahilramani RN, Flores-Gonzalez JR, Mahmood A, Haas EM. Transanal minimally invasive surgery: review of indications and outcomes from 75 consecutive patients. J Am Coll Surg. 2016;222:814–22.

    Article  Google Scholar 

  33. Molina G, Bordeianou L, Shellito P, Sylla P. Transanal endoscopic resection with peritoneal entry: a word of caution. Surg Endosc Other Interv Tech. 2016;30:1816–25.

    Article  Google Scholar 

  34. Atallah S, Albert M, Larach S. Transanal minimally invasive surgery: a giant leap forward. Surg Endosc. 2010;24:2200–5.

    Article  Google Scholar 

  35. Verseveld M, Barendse RM, Gosselink MP, Verhoef C, de Graaf EJR, Doornebosch PG. Transanal minimally invasive surgery: impact on quality of life and functional outcome. Surg Endosc. 2016;30:1184–7.

    Article  Google Scholar 

  36. Herman RM, Richter P, Walȩga P, Popiela T. Anorectal sphincter function and rectal barostat study in patients following transanal endoscopic microsurgery. Int J Color Dis. 2001;16:370–6.

    Article  CAS  Google Scholar 

  37. Doornebosch PG, Tollenaar RAEM, Gosselink MP, Stassen LP, Dijkhuis CM, Schouten WR, et al. Quality of life after transanal endoscopic microsurgery and total mesorectal excision in early rectal cancer. Color Dis. 2007;9:553–8.

    Article  CAS  Google Scholar 

  38. Planting A, Phang PT, Raval MJ, Brown CJ. Transanal endoscopic microsurgery: impact on fecal incontinence and quality of life. Can J Surg. 2013;56:243–8.

    Article  Google Scholar 

  39. Hompes R, Ashraf SQ, Gosselink MP, van Dongen KW, Mortensen NJ, Lindsey I, et al. Evaluation of quality of life and function at 1 year after transanal endoscopic microsurgery. Color Dis. 2015;17:O54–61.

    Article  CAS  Google Scholar 

  40. Clermonts SHEM, van Loon YT, Schiphorst AHW, Wasowicz DK, Zimmerman DDE. Transanal minimally invasive surgery for rectal polyps and selected malignant tumors: caution concerning intermediate-term functional results. Int J Color Dis. 2017;32:1677–85.

    Article  CAS  Google Scholar 

  41. Dafnis G, Påhlman L, Raab Y, Gustafsson U-M, Graf W. Transanal endoscopic microsurgery: clinical and functional results. Color Dis. 2004;6:336–42.

    Article  CAS  Google Scholar 

  42. Allaix ME, Rebecchi F, Giaccone C, Mistrangelo M, Morino M. Long-term functional results and quality of life after transanal endoscopic microsurgery. Br J Surg. 2011;98:1635–43.

    Article  CAS  Google Scholar 

  43. Restivo A, Zorcolo L, D’Alia G, Cocco F, Cossu A, Scintu F, et al. Risk of complications and long-term functional alterations after local excision of rectal tumors with Transanal Endoscopic Microsurgery (TEM). Int J Color Dis. 2016;31:257–66.

    Article  Google Scholar 

  44. Clermonts SHEM, van Loon Y-T, Wasowicz DK, Langenhoff BS, Zimmerman DDE. Comparative quality of life in patients following transanal minimally invasive surgery and healthy control subjects. J Gastrointest Surg. 2018;22:1089–97.

    Article  Google Scholar 

  45. Arezzo A, Arolfo S, Allaix ME, Bullano A, Miegge A, Marola S, et al. Transanal endoscopic microsurgery for giant circumferential rectal adenomas. Color Dis. 2016;18:897–902.

    Article  CAS  Google Scholar 

  46. Penna M, Knol JJ, Tuynman JB, Tekkis PP, Mortensen NJ, Hompes R. Four anastomotic techniques following Transanal Total Mesorectal Excision (TaTME). Tech Coloproctol. 2016;20:185–91.

    Article  CAS  Google Scholar 

  47. Penna M, Hompes R, Arnold S, Wynn G, Austin R, Warusavitarne J, et al. Transanal total mesorectal excision: international registry results of the first 720 cases. Ann Surg. 2017;266(1):111–7.

    Article  Google Scholar 

  48. Baatrup G, Elbrønd H, Hesselfeldt P, Wille-Jørgensen P, Møller P, Breum B, et al. Rectal adenocarcinoma and transanal endoscopic microsurgery. Diagnostic challenges, indications and short term results in 142 consecutive patients. Int J Color Dis. 2007;22:1347–52.

    Article  CAS  Google Scholar 

  49. Arezzo A, Passera R, Marchese N, Galloro G, Manta R, Cirocchi R. Systematic review and meta-analysis of endoscopic submucosal dissection vs endoscopic mucosal resection for colorectal lesions. United European Gastroenterol J. 2016;4:18–29.

    Article  CAS  Google Scholar 

  50. Barker JA, Hill J. Incidence, treatment and outcome of rectal stenosis following transanal endoscopic microsurgery. Tech Coloproctol. 2011;15:281–4.

    Article  CAS  Google Scholar 

  51. Ohara Y, Toyonaga T, Tanaka S, Ishida T, Hoshi N, Yoshizaki T, et al. Risk of stricture after endoscopic submucosal dissection for large rectal neoplasms. Endoscopy. 2016;48:62–70.

    PubMed  Google Scholar 

  52. Abe S, Sakamoto T, Takamaru H, Yamada M, Nakajima T, Matsuda T, et al. Stenosis rates after endoscopic submucosal dissection of large rectal tumors involving greater than three quarters of the luminal circumference. Surg Endosc Other Interv Tech. 2016;30:5459–64.

    Article  Google Scholar 

  53. Hashimoto S, Kobayashi M, Takeuchi M, Sato Y, Narisawa R, Aoyagi Y. The efficacy of endoscopic triamcinolone injection for the prevention of esophageal stricture after endoscopic submucosal dissection. Gastrointest Endosc. 2011;74:1389–93.

    Article  Google Scholar 

  54. Mori H, Rafiq K, Kobara H, Fujihara S, Nishiyama N, Kobayashi M, et al. Local steroid injection into the artificial ulcer created by endoscopic submucosal dissection for gastric cancer: prevention of gastric deformity. Endoscopy. 2012;44:641–8.

    Article  CAS  Google Scholar 

  55. Serra-Aracil X, Mora-Lopez L, Alcantara-Moral M, Corredera-Cantarin C, Gomez-Diaz C, Navarro-Soto S. Atypical indications for transanal endoscopic microsurgery to avoid major surgery. Tech Coloproctol. 2014;18:157–64.

    Article  CAS  Google Scholar 

  56. Ortenzi M, Ghiselli R, Cappelletti Trombettoni MM, Cardinali L, Guerrieri M. Transanal endoscopic microsurgery as optimal option in treatment of rare rectal lesions: a single centre experience. World J Gastrointest Endosc. 2016;8:623.

    Article  Google Scholar 

  57. García-Flórez LJ, Otero-Díez JL, Encinas-Muñiz AI, Sánchez-Domínguez L. Indications and outcomes from 32 consecutive patients for the treatment of rectal lesions by transanal minimally invasive surgery. Surg Innov. 2017;24:336–42.

    Article  Google Scholar 

  58. Borstlap WAA, Harran N, Tanis PJ, Bemelman WA. Feasibility of the TAMIS technique for redo pelvic surgery. Surg Endosc Other Interv Tech. 2016;30:5364–71.

    Article  CAS  Google Scholar 

  59. Gill S, Stetler JL, Patel A, Shaffer VO, Srinivasan J, Staley C, et al. Transanal Minimally Invasive Surgery (TAMIS): standardizing a reproducible procedure. J Gastrointest Surg. 2015;19:1528–36.

    Article  Google Scholar 

  60. Sumrien H, Dadnam C, Hewitt J, McCarthy K. Feasibility of Transanal Minimally Invasive Surgery (TAMIS) for rectal tumours and its impact on quality of life – the Bristol series. Anticancer Res. 2016;36:2005–9.

    PubMed  Google Scholar 

  61. Haugvik S-P, Groven S, Bondi J, Vågan T, Brynhildsvoll SO, Olsen OC. A critical appraisal of Transanal Minimally Invasive Surgery (TAMIS) in the treatment of rectal adenoma: a 4-year experience with 51 cases. Scand J Gastroenterol. 2016;51:855–9.

    Article  Google Scholar 

  62. Quaresima S, Balla A, Franceschilli L, La Torre M, Iafrate C, Shalaby M, et al. Transanal minimally invasive surgery for rectal lesions. J Soc Laparoendosc Surg (JSLS). 2016;20:e2016.00032.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, University of Colorado, Aurora, CO, USA

    Heather Carmichael

  2. Division of Colon and Rectal Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Patricia Sylla

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  1. Heather Carmichael
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  2. Patricia Sylla
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Correspondence to Patricia Sylla .

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  1. AdventHealth Orlando, Oviedo Medical Center, and University of Central Florida College of Medicine, Orlando, FL, USA

    Sam Atallah

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Carmichael, H., Sylla, P. (2019). TAMIS: Current Controversies and Challenges. In: Atallah, S. (eds) Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME). Springer, Cham. https://doi.org/10.1007/978-3-030-11572-2_18

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  • DOI: https://doi.org/10.1007/978-3-030-11572-2_18

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