Transanal minimally invasive surgery for benign and malignant rectal neoplasia

被引：52

作者：

McLemore, Elisabeth C. ^{[1
]}

Weston, Lynn A. ^{[2
]}

Coker, Alisa M. ^{[1
]}

Jacobsen, Garth R. ^{[1
]}

Talamini, Mark A. ^{[1
]}

Horgan, Santiago ^{[1
]}

Ramamoorthy, Sonia L. ^{[1
]}

机构：

[1] Univ Calif San Diego, Dept Surg, San Diego, CA 92103 USA

[2] Scripps Hlth Syst, Dept Surg, San Diego, CA USA

来源：

AMERICAN JOURNAL OF SURGERY | 2014年 / 208卷 / 03期

关键词：

Transanal minimally invasive surgery; Transanal endoscopic microsurgery; Rectal Mass; Endoscope; Rectal cancer; Rectal adenoma; Rectal carcinoid; SINGLE-PORT MICROSURGERY; ENDOSCOPIC MICROSURGERY; RESECTION; EXCISION; ADENOMAS; OUTCOMES; TAMIS; T1;

D O I：

10.1016/j.amjsurg.2014.01.006

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BACKGROUND: Transanal minimally invasive surgery (TAMIS), an alternative technique to transanal endoscopic microsurgery, was developed in 2009. Herein, we describe our initial experience using TAMIS for benign and malignant rectal neoplasia. METHODS: This is an institutional review board approved, retrospective case series report. RESULTS: TAMIS was performed in 32 patients for rectal adenoma (13), adenocarcinoma (16), and carcinoid (3). There were 14 women, with mean age 62 +/- 15 years and body mass index 28 +/- 5 kg/m(2). Lesion size ranged from .5 to 8.5 cm, distance from the dentate line 1 to 11 cm, and circumference of the lesion 10% to 100%. The mean operative time was 123 +/- 62 minutes. Mean hospital length of stay was 2.5 +/- 2 days. Complications included urinary tract infection (1), Clostridium difficile diarrhea (1), atrial fibrillation (1), rectal stenosis (1), and rectal bleeding (1). CONCLUSION: TAMIS using a disposable transanal access platform is a safe and effective method to remove rectal lesions in this case series. Published by Elsevier Inc.

引用

页码：372 / 381

页数：10

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