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Albert M. Wolthuis, MD. Anthony de Buck van Overstraeten, MD. André DHoore, MD, PhD. Transanal Rectal Excision: Video Demonstration Of A TAMIS Technique.

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Presentation on theme: "Albert M. Wolthuis, MD. Anthony de Buck van Overstraeten, MD. André DHoore, MD, PhD. Transanal Rectal Excision: Video Demonstration Of A TAMIS Technique."— Presentation transcript:

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2 Albert M. Wolthuis, MD. Anthony de Buck van Overstraeten, MD. André DHoore, MD, PhD. Transanal Rectal Excision: Video Demonstration Of A TAMIS Technique Department of Abdominal Surgery

3 Problems with laparoscopic distal rectal mobilisation Visualisation Bony landmarks Adaptation of instruments

4 TAMIS IntraluminalExtraluminal ~TEM/TEO~TATA, TSPM, MA-NOS, … Rectal adenoma Bottom-up TME Early rectal cancer Reverse TME TAMIS: TransAnal Minimally Invasive Surgery

5 TAMIS IntraluminalExtraluminal ~TEM/TEO~TATA, TSPM, MA-NOS, … Rectal adenoma Bottom-up TME Early rectal cancer Reverse TME TAMIS: TransAnal Minimally Invasive Surgery

6 Wolthuis et al,Tech Coloproctol. 2012;16: uterus endopelvic fascia 12 34

7 Manual coloanal anastomosis

8 Transanal rectal excision Promising technique –distal rectal mobilisation under direct vision Future: –Improvement of instruments –Robotics? –NOTES TME


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