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http://hdl.handle.net/1942/30183
Title: | TAMIS is a valuable alternative to TEM for resection of intraluminal rectal tumors | Authors: | Van den Eynde, F. Jaekers, J. FIEUWS, Steffen D'Hoore, A. M. Wolthuis, A. M. |
Issue Date: | 2019 | Publisher: | SPRINGER-VERLAG ITALIA SRL | Source: | TECHNIQUES IN COLOPROCTOLOGY, 23(2), p. 161-166 | Abstract: | BackgroundThe aim of this study was to compare the short-term outcome after Transanal Endoscopic Microsurgery (TEM) and Transanal Minimally Invasive Surgery (TAMIS) for intraluminal rectal lesions.MethodsRetrospective analysis of a prospectively maintained database of all TEM and TAMIS procedures performed at a single institution by one surgeon between March 2009 and September 2017 was conducted. Primary outcome was operating time. Secondary outcomes were blood loss, pathological outcome, length of hospital stay, 30-day readmission and mortality.ResultsFifty-three patients underwent TEM procedure and 68 patients underwent TAMIS. Operating time was significantly shorter for TAMIS compared with TEM (median 45 vs 65min, p<0.0001). Blood loss was negligible for both TEM and TAMIS. Resection margins, lesion grade and invasion depth were comparable for both approaches. A significantly higher postoperative readmission rate was observed in the TEM group (17% vs 4.4%, p=0.031). Mortality was zero in both groups.ConclusionsTAMIS is a valuable alternative to TEM, leading to decreased operating times, because all resections can be done in lithotomy position. | Notes: | [Van den Eynde, F.; Jaekers, J.; D'Hoore, A. M.; Wolthuis, A. M.] Univ Hosp Leuven, Dept Abdominal Surg, Herestr 49, B-3000 Leuven, Belgium. [Fieuws, S.] Univ Leuven, KU Leuven, Interuniv Ctr Biostat & Stat Bioinformat, Leuven, Belgium. [Fieuws, S.] Univ Hasselt, Leuven, Belgium. | Keywords: | Transanal Endoscopic Microsurgery;Rectal Neoplasms;Transanal Minimally Invasive Surgery | Document URI: | http://hdl.handle.net/1942/30183 | ISSN: | 1123-6337 | e-ISSN: | 1128-045X | DOI: | 10.1007/s10151-019-01954-7 | ISI #: | 000462943900010 | Rights: | Springer Nature Switzerland AG 2019 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2020 |
Appears in Collections: | Research publications |
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