• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Descriptions and Video Updates
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • COVID-19 Announcements
    • SAGES 2020 Meeting Information
    • 2021 Scientific Session Call For Abstracts
    • 2021 Emerging Technology Session Call For Abstracts
    • 2018 Prevent BDI Consensus Conference
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • Leadership Development and Health Policy Conference Videos
      • SAGES Quality Summit Meeting
      • SAGES 2019
      • SAGES 2018
      • SAGES 2017
      • SAGES 2016
      • SAGES 2015
      • SAGES 2014
      • SAGES 2013
    • Related Meetings Calendar
  • Membership
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • COVID-19 Annoucements
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • Troubleshooting Guides
  • Education
    • SAGES.TV Video Library
    • Virtual Hernia Clinic
    • The SAGES Safe Cholecystectomy Program
    • The Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • The SAGES HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Endorsed Courses
    • SAGES Robotics Fellows Courses
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Educational Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES Quality Initiative
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Research Opportunities
    • SAGES Endorsed Courses
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
    • Fellowship Certification
  • Search
    • COVID-19 Announcements
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Blog
    • All Blog Posts
    • COVID-19
    • Notes from the Battlefield
    • A (Positive) Way Forward
    • President Posts
  • Log In

Application of the TAMIS Platform for Complete Pelvic Resection

George J Nassif, DO, Harsh Polavaropu, MD, Andres Monroy, MD, Teresa H deBeche-Adams, MD, Sergio W Larach, MD, Matthew R Albert, MD, Sam Atallah, MD

Florida Hospital Center for Colon and Rectal Surgery

Introduction: The characteristics for the ideal pelvic surgery include, minimal morbidity and mortality, minimal trauma to the patient, good optical visualization, minimal blood loss, and preservation of physiologic function. These goals become more challenging in the re-operative pelvis, the narrow male pelvis and distal rectal pathology. Our group pioneered transanal minimally invasive surgery (TAMIS), which was initially described as an advanced platform for high-quality local excision of rectal neoplasms, but we have evolved this technique to pelvic dissection which gives a excellent option for these difficult cases including total mesorectal excision. With this approach, the TAMIS platform is used to perform total mesorectal proctectomies and other pelvic resections in a “bottom up” fashion as apposed to the standard technique of “top down”.

Hypothesis: We hypothesize that TAMIS bottom up technique is a safe and effective minimally invasive option for difficult and routine pelvic resections including TME and J-pouch excision.

Methods: We retrospectively reviewed data from a prospectively maintained database of a single colorectal surgery practice to identify all patients who had transanal minimally invasive surgery (TAMIS) for total mesorectal excision, pelvic excision of ileal J-pouch and previous coloanal anastomosis. Cases were performed with standard laparoscopic instruments, cameras and single port transanal platforms. Patient data including demographics, intra-operative details, perioperative morbidity and mortality and post-operative data were examined.

Results: 9 patients (men=4) underwent TAMIS bottom up pelvic dissection (TME=6 and Pelvic excision=3). Average age was average 52yo (31-65yo). Average BMI was 26.4 (18-38.5). 6 patients were treated for malignancy (5=rectal 1=cervical), UC n=2, crohns n=1. 5 patients received concomitant preoperative 5 FU based chemotherapy and radiation. OR time was 250min (172-450*combined with gyn). Mean EBL was 224cc (100-400cc). Specimen nodal harvest average 21.5 (9-42). All 6 TME were complete. There were no mortalities. Morbidity rate was n=1 crohn’s patient with superficial wound infection. LOS 4.6days ( 2-9). Follow up is 6.8 months (1-22).

Conclusion: Advances in minimally invasive surgical procedures have led us to explore less traumatic and more effective techniques to handle difficult pelvic pathology. This review demonstrates the feasibility, accessibility, and quality outcomes for a novel minimally invasive transanal surgical technique with retrograde pelvic dissection. The TAMIS bottom up dissecting technique can be easily adapted by surgeons who are capable of advanced laparoscopic surgery to operate in the difficult pelvis. Long-term oncological and functional data will need to be examined as the increased utilization of this technique is applied. TAMIS will continue to mature as a viable option for the surgical treatment of the complex pelvis in colorectal surgery.


Session: Posters/Distinction

Program Number: P012

Post Views: 242

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2013 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Daniel Herron, MD

An opportunity to slow down and appreciate the small joys in life

Dan Herron, MD shares insights with Dana Telem, MD on lessons learned from COVID-19 Fear, anxiety and uncertainty has dominated the first half of 2020. Never before have we, as healthcare providers, been asked to do so much with so little—whether it’s resources like personal protective equipment, dusting off skills related to critical care, or […]

covid testing stock

Notes from the Battlefield – May 14, 2020

Coronavirus Global Surgical Collaborative (CVGSC)* An initiative sponsored by SAGES in collaboration with EAES, AEC, KSELS, and ELSA A group of surgical leaders from affected countries have joined to discuss what they are learning during this Covid-19 Global crisis. The following is a brief summary of what they feel may be useful information to disseminate to the surgical […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Newsletter Subscription

  • This field is for validation purposes and should be left unchanged.

Important Links

SAGES 2020 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

[footer_backtotop] · Log in

Copyright © 2021 Society of American Gastrointestinal and Endoscopic Surgeons · Legal
· Managed by BSC Management, Inc