TY  - JOUR
TI  - Transanal Minimally Invasive Surgery (TAMIS) Using
Single Incision Laparoscopic Surgery (SILS) Port for
the Management of Benign Rectal Neoplasms:
A Single Center Study
AB  - Aim: Conventional transanal excision was described decades ago for treatment of benign rectal neoplasms. However, the chalanges of this technique
leads to use alternative approachs. We evaluated the results of transanal minimally invasive surgery (TAMIS) with single incision laparoscopic surgery
(SILS) port in treatment of benign rectal neoplasms.
Method: Data of the patients who underwent TAMIS with SILS port in one center were retrospectively analyzed. SILS port was placed through in
the anal canal and ultrasonic sealing device was used for excision the tumors. Complications during or after surgery were reported. Patients were
followed-up by rectal examination with rectoscopy and recurrences were evaluated.
Results: Between July 2015 and March 2020, 20 patients underwent TAMIS at one center. The median age of the patients was 67 (37-79). The
procedure was performed in all of the patients with a lithotomy position. Full-thickness defect after complete resection of the lesion was observed in
5 (25%) patients. However, abdominal cavity was not exposed through the TAMIS procedure in any of the patients. The rectal wall defect was not
repaired in any of the patients. No major complication occured in the patients. The hospital stay was 1 (1-4) days. The surgical margin was negative
in 19 patients (95%). After the follow-up period of 9 (1-43) months, 3 (17%) patients had a recurrence and further surgery was performed.
Conclusion: TAMIS using SILS port for the management of rectal neoplasms is a safe and effective for treatment benign rectal lesions.
AU  - Attaallah, Wafi
AU  - Uprak, Tevfik Kıvılcım
DO  - 10.4274/tjcd.galenos.2020.2020-10-7
PY  - 2021
JO  - Türk Kolon ve Rektum Hastalıkları Dergisi
VL  - 31
IS  - 2
SN  - 2536-4898
SP  - 143
EP  - 149
DB  - TRDizin
UR  - http://search/yayin/detay/510823
ER  -