Albert M. Wolthuis, MD. Anthony de Buck van Overstraeten, MD. André DHoore, MD, PhD. Transanal...

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Albert M. Wolthuis, MD. Anthony de Buck van Overstraeten, MD. André D’Hoore, MD, PhD. Transanal Rectal Excision: Video Demonstration Of A TAMIS Technique Department of Abdominal Surgery

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Transcript of Albert M. Wolthuis, MD. Anthony de Buck van Overstraeten, MD. André DHoore, MD, PhD. Transanal...

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Slide 2 Albert M. Wolthuis, MD. Anthony de Buck van Overstraeten, MD. Andr DHoore, MD, PhD. Transanal Rectal Excision: Video Demonstration Of A TAMIS Technique Department of Abdominal Surgery Slide 3 Problems with laparoscopic distal rectal mobilisation Visualisation Bony landmarks Adaptation of instruments Slide 4 TAMIS IntraluminalExtraluminal ~TEM/TEO~TATA, TSPM, MA-NOS, Rectal adenoma Bottom-up TME Early rectal cancer Reverse TME TAMIS: TransAnal Minimally Invasive Surgery Slide 5 TAMIS IntraluminalExtraluminal ~TEM/TEO~TATA, TSPM, MA-NOS, Rectal adenoma Bottom-up TME Early rectal cancer Reverse TME TAMIS: TransAnal Minimally Invasive Surgery Slide 6 Wolthuis et al,Tech Coloproctol. 2012;16:161-165 uterus endopelvic fascia 12 34 Slide 7 Manual coloanal anastomosis Slide 8 Transanal rectal excision Promising technique distal rectal mobilisation under direct vision Future: Improvement of instruments Robotics? NOTES TME


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