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TAMIS is a valuable alternative to TEM for resection of intraluminal rectal tumors.
- Source :
-
Techniques in coloproctology [Tech Coloproctol] 2019 Feb; Vol. 23 (2), pp. 161-166. Date of Electronic Publication: 2019 Mar 11. - Publication Year :
- 2019
-
Abstract
- Background: The aim of this study was to compare the short-term outcome after Transanal Endoscopic Microsurgery (TEM) and Transanal Minimally Invasive Surgery (TAMIS) for intraluminal rectal lesions.<br />Methods: Retrospective analysis of a prospectively maintained database of all TEM and TAMIS procedures performed at a single institution by one surgeon between March 2009 and September 2017 was conducted. Primary outcome was operating time. Secondary outcomes were blood loss, pathological outcome, length of hospital stay, 30-day readmission and mortality.<br />Results: Fifty-three patients underwent TEM procedure and 68 patients underwent TAMIS. Operating time was significantly shorter for TAMIS compared with TEM (median 45 vs 65 min, pā<ā0.0001). Blood loss was negligible for both TEM and TAMIS. Resection margins, lesion grade and invasion depth were comparable for both approaches. A significantly higher postoperative readmission rate was observed in the TEM group (17% vs 4.4%, pā=ā0.031). Mortality was zero in both groups.<br />Conclusions: TAMIS is a valuable alternative to TEM, leading to decreased operating times, because all resections can be done in lithotomy position.
- Subjects :
- Aged
Anal Canal surgery
Databases, Factual
Female
Humans
Length of Stay statistics & numerical data
Male
Margins of Excision
Middle Aged
Operative Time
Patient Readmission statistics & numerical data
Prospective Studies
Rectal Neoplasms mortality
Rectal Neoplasms pathology
Retrospective Studies
Transanal Endoscopic Microsurgery methods
Transanal Endoscopic Surgery methods
Treatment Outcome
Rectal Neoplasms surgery
Transanal Endoscopic Microsurgery mortality
Transanal Endoscopic Surgery mortality
Subjects
Details
- Language :
- English
- ISSN :
- 1128-045X
- Volume :
- 23
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Techniques in coloproctology
- Publication Type :
- Academic Journal
- Accession number :
- 30859349
- Full Text :
- https://doi.org/10.1007/s10151-019-01954-7