Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME)

Sam AtallahAdventHealthOrlando, FLUSA

Historical Perspectives and Rationale for Development.- TAMIS: Indications and Contraindications.- An Algorithm for Local Excision for Early Stage Rectal Cancer.- Complete Clinical Response in Rectal Cancer after Neoadjuvant Therapy-Organ-Preservation Strategies and the Role of Surgery.- Salvage Surgery after TAMIS Excision of Early Stage Rectal Cancer.- Organ Preservation and Palliative Options for Rectal Cancer.- Operative Equipment and Insufflator Options.- Operating Theater Setup and Perioperative Considerations.- Surgical Technique for Local Excision of Rectal Neoplasia.- Pyramidal Excision for Early Rectal Cancer and Special Closure Techniques.- Closure versus Non-Closure after Excision.- Operative and Peri-Operative Outcomes.- Functional Outcomes after Local Excision of Rectal Neoplasia.- Oncologic Outcomes for Local Excision of Rectal Neoplasia.- Applications Beyond Local Excision.- The Evolution of Robotic TAMIS.- Transanal Robotic Surgery and Future Directions.- TAMIS: Current Controversies and Challenges.- Indications for Malignant Neoplasia of the Rectum.- Indications for Benign Disease of the Rectum.- Operating Theatre Setup & Two-Team Coordination.- Single-Team taTME.- Transanal Access Platform Options & Instrument Innovations.- Intra-Operative Decision Making: Converting to taTME, When and for Whom?.- Key Aspects of the Abdominal Dissection.- Zen and the Art of the Pursestring.- An Overview of Operative Steps and Surgical Technique.- Strategies for Ultra Low-Lying Rectal Cancer.- Critical Anatomical Landmarks in Transanal Total Mesorectal Excision (taTME).- Urethral Injury: The New Challenge for taTME.- How to Avoid Urethral Injury in Males.- A Roadmap to the Pelvic Autonomic Nerves During Transanal Dissection.- Operative Vectors, Anatomic distortion, and the Inherent Effect of CO2 Dissection.- Total Hindgut Mesenteric Mobilization for taTME.- The Role for Perfusion Angiography.- Perioperative Preparation and Post-Operative Care Considerations.- Intra-Operative Morbidity TaTME.- Functional Outcomes to Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME).- Oncologic Outcomes.- TaTME for Radical Exenteration.- taTME for Abdominoperineal Resection.- Hartmann's Reversal by a Combined Transanal-Transabdominal Approach.- Pure NOTES Transanal taTME.- Totally Robotic taTME--Experiences and Challenges to Date.- Next Generation Robots for taTME.- Video-Based Training Apps and Deferred Live Surgery.- Navigation for Transanal Total Mesorectal Excision.- Current Controversies and Challenges.- Transanal Total Mesorectal Excision: The Next Ten Years.