Most recently, the Transanal Minimally Invasive Surgery (TAMIS) approach combined with single-port technology has allowed that pelvic surgery can be laparoendocopically performed from both its abdominal and perineal aspects.Previously, a strong negative association between medium- and long-term survival and male gender with narrow pelvis have been reported. TAMIS has a significant potantial for improving the quality of the surgical resection of rectal tumors in men with visceral obesity and narrow pelvis. This group of patients have also a high rate of conversion to open surgery. Focusing on improvement in intraoperative conditions and surgical techniques rather than routine conventional procedures may be the way to go concerning favorable short- and long-term outcomes. The selection of adequate surgical approach to the high-risk patients with visceral obesity and a bulky mesentery may prevent or limit the risk for anastomotic leakage and improve oncologic margin clearence. This is a prospective observational feasability study of the TAMIS-procedure.
Study Type
OBSERVATIONAL
Enrollment
25
all patients included recieve laparoscopic assisted transanal minimally invasive surgery
Hvidovre Hospital University of Copenhagen
Hvidovre, Denmark
morbidity
Clavien-Dindo
Time frame: 30-days
mortality
death within 30-days
Time frame: 30-days
short-term oncological result
cancer-free resection margins
Time frame: 30-days
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