{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T03:27:05Z","timestamp":1792466825792,"version":"4.5.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T00:00:00Z","timestamp":1715212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T00:00:00Z","timestamp":1715212800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Dublin, Trinity College"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Colorectal Dis"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Robotic transanal minimally invasive surgery (R-TAMIS) was introduced in 2012 for the excision of benign rectal polyps and low grade rectal cancer. Ergonomic improvements over traditional laparoscopic TAMIS (L-TAMIS) include increased dexterity within a small operative field, with possibility of better surgical precision. We aim to collate the existing data surrounding the use of R-TAMIS to treat rectal neoplasms from cohort studies and larger case series, providing a foundation for future, large-scale, comparative studies.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Medline, EMBASE and Web of Science were searched as part of our review. Randomised controlled trials (RCTs), cohort studies or large case series (\u2265 5 patients) investigating the use of R-TAMIS to resect rectal neoplasia (benign or malignant) were eligible for inclusion in our analysis. Quality assessment of included studies was performed via the Newcastle Ottawa Scale (NOS) risk of bias tool. Outcomes extracted included basic participant characteristics, operative details and histopathological\/oncological outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Eighteen studies on 317 participants were included in our analysis. The quality of studies was generally satisfactory. Overall complication rate from R-TAMIS was 9.7%. Clear margins (R0) were reported in 96.2% of patients. Local recurrence (benign or malignant) occurred in 2.2% of patients during the specified follow-up periods.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Our review highlights the current evidence for R-TAMIS in the local excision of rectal lesions. While R-TAMIS appears to have complication, margin negativity and recurrence rates superior to those of published L-TAMIS series, comparative studies are needed.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00384-024-04645-4","type":"journal-article","created":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T19:02:01Z","timestamp":1715281321000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Robotic transanal minimally invasive surgery (R-TAMIS): current evidence in the treatment of early rectal neoplasia"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6241-7819","authenticated-orcid":false,"given":"Niall J.","family":"O\u2019Sullivan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo C.","family":"Temperley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Larkin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob J.","family":"McCormick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Rausa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"McCormick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Heriot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian J.","family":"Mehigan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satish","family":"Warrier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael E.","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,9]]},"reference":[{"issue":"8","key":"4645_CR1","doi-asserted-by":"publisher","first-page":"1003","DOI":"10.1097\/DCR.0000000000001999","volume":"64","author":"JH Marks","year":"2021","unstructured":"Marks JH, Kunkel E, Salem JF, Martin CT, Anderson B, Agarwal S (2021) First clinical experience with single-port robotic transanal minimally invasive surgery: phase II trial of the initial 26 cases. Dis Colon Rectum 64(8):1003\u20131013","journal-title":"Dis Colon Rectum"},{"issue":"10","key":"4645_CR2","doi-asserted-by":"publisher","first-page":"3762","DOI":"10.1007\/s00464-013-2962-z","volume":"27","author":"R Rimonda","year":"2013","unstructured":"Rimonda R, Arezzo A, Arolfo S, Salvai A, Morino M (2013) Transanal minimally invasive surgery (TAMIS) with SILS port versus transanal endoscopic microsurgery (TEM): a comparative experimental study. Surg Endosc 27(10):3762\u20133768","journal-title":"Surg Endosc"},{"issue":"5","key":"4645_CR3","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1007\/s10151-012-0833-6","volume":"16","author":"S Atallah","year":"2012","unstructured":"Atallah S, Parra-Davila E, DeBeche-Adams T, Albert M, Larach S (2012) Excision of a rectal neoplasm using robotic transanal surgery (RTS): a description of the technique. Tech Coloproctol 16(5):389\u2013392","journal-title":"Tech Coloproctol"},{"issue":"5","key":"4645_CR4","doi-asserted-by":"publisher","first-page":"3398","DOI":"10.1007\/s00464-022-09853-z","volume":"37","author":"PCH Jakobsen","year":"2023","unstructured":"Jakobsen PCH, Krarup PM, Jensen KK, Nordholm-Carstensen A (2023) Robot-assisted TAMIS: a systematic review of feasibility and outcomes. Surg Endosc 37(5):3398\u20133409","journal-title":"Surg Endosc"},{"issue":"6","key":"4645_CR5","doi-asserted-by":"publisher","first-page":"1981","DOI":"10.1007\/s00464-018-6502-8","volume":"33","author":"SG Lee","year":"2019","unstructured":"Lee SG, Russ AJ, Casillas MA Jr (2019) Laparoscopic transanal minimally invasive surgery (L-TAMIS) versus robotic TAMIS (R-TAMIS): short-term outcomes and costs of a comparative study. Surg Endosc 33(6):1981\u20131987","journal-title":"Surg Endosc"},{"issue":"4","key":"4645_CR6","doi-asserted-by":"publisher","first-page":"1407","DOI":"10.1007\/s00464-012-2581-0","volume":"27","author":"O Bardakcioglu","year":"2013","unstructured":"Bardakcioglu O (2013) Robotic transanal access surgery. Surg Endosc 27(4):1407\u20131409","journal-title":"Surg Endosc"},{"issue":"10","key":"4645_CR7","doi-asserted-by":"publisher","first-page":"1194","DOI":"10.1097\/DCR.0b013e3182a2ac84","volume":"56","author":"NC Buchs","year":"2013","unstructured":"Buchs NC, Pugin F, Volonte F, Hagen ME, Morel P, Ris F (2013) Robotic transanal endoscopic microsurgery: technical details for the lateral approach. Dis Colon Rectum 56(10):1194\u20131198","journal-title":"Dis Colon Rectum"},{"issue":"3","key":"4645_CR8","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1007\/s11701-013-0429-9","volume":"8","author":"F Vallribera Valls","year":"2014","unstructured":"Vallribera Valls F, Espin Bassany E, Jimenez-Gomez LM, Ribera Chavarria J, Armengol Carrasco M (2014) Robotic transanal endoscopic microsurgery in benign rectal tumour. J Robot Surg 8(3):277\u2013280","journal-title":"J Robot Surg"},{"issue":"4","key":"4645_CR9","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1111\/codi.13638","volume":"19","author":"I Erenler","year":"2017","unstructured":"Erenler I, Aytac E, Bilgin IA, Baca B, Hamzaoglu I, Karahasanoglu T (2017) Robotic transanal minimally invasive surgery (R-TAMIS) with the Da Vinci Xi System-a video vignette. Colorectal Dis 19(4):401","journal-title":"Colorectal Dis"},{"issue":"10","key":"4645_CR10","doi-asserted-by":"publisher","first-page":"936","DOI":"10.1111\/codi.14353","volume":"20","author":"SW Chang","year":"2018","unstructured":"Chang SW, Kuo LJ (2018) Robotic transanal minimally invasive surgery for a neuroendocrine rectal tumour-a video vignette. Colorectal Dis 20(10):936\u2013937","journal-title":"Colorectal Dis"},{"issue":"7","key":"4645_CR11","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1007\/s10151-018-1816-z","volume":"22","author":"CD Warren","year":"2018","unstructured":"Warren CD, Hamilton AER, Stevenson ARL (2018) Robotic transanal minimally invasive surgery (TAMIS) for local excision of rectal lesions with the Da Vinci Xi (dVXi): technical considerations and video vignette. Tech Coloproctol 22(7):529\u2013533","journal-title":"Tech Coloproctol"},{"issue":"2","key":"4645_CR12","doi-asserted-by":"publisher","first-page":"e25","DOI":"10.1097\/DCR.0000000000001882","volume":"64","author":"A Studniarek","year":"2021","unstructured":"Studniarek A, Pan J, Gantt G Jr, Mellgren A, Giulianotti PC, Nordenstam JF (2021) Single-port, robot-assisted transanal excision of rectal lesion. Dis Colon Rectum 64(2):e25","journal-title":"Dis Colon Rectum"},{"issue":"2","key":"4645_CR13","doi-asserted-by":"publisher","first-page":"853","DOI":"10.1007\/s11845-021-02645-9","volume":"191","author":"E Hannan","year":"2022","unstructured":"Hannan E, Feeney G, Ullah MF, Amin K, Coffey JC, Peirce C (2022) The first robotic transanal minimally invasive surgery in Ireland: a case-based review. Ir J Med Sci 191(2):853\u2013857","journal-title":"Ir J Med Sci"},{"key":"4645_CR14","unstructured":"Covidence systematic review software.\u00a0Veritas health innovation, Melbourne, Australia"},{"issue":"10","key":"4645_CR15","doi-asserted-by":"publisher","first-page":"1422","DOI":"10.1111\/codi.15045","volume":"22","author":"EJ Baker","year":"2020","unstructured":"Baker EJ, Waters PS, Peacock O et al (2020) Robotic transanal minimally invasive surgery-technical, oncological and patient outcomes from a single institution. Colorectal Dis 22(10):1422\u20131428","journal-title":"Colorectal Dis"},{"issue":"1","key":"4645_CR16","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1016\/j.asjsur.2019.04.007","volume":"43","author":"YJ Huang","year":"2020","unstructured":"Huang YJ, Huang YM, Wang WL, Tong YS, Hsu W, Wei PL (2020) Surgical outcomes of robotic transanal minimally invasive surgery for selected rectal neoplasms: a single-hospital experience. Asian J Surg 43(1):290\u2013296","journal-title":"Asian J Surg"},{"issue":"3","key":"4645_CR17","doi-asserted-by":"publisher","first-page":"1011","DOI":"10.1007\/s13304-021-01233-x","volume":"74","author":"S Liu","year":"2022","unstructured":"Liu S, Contreras N, Krezalek MA et al (2022) Robotic transanal minimally invasive surgery: a single institutional experience. Updates Surg 74(3):1011\u20131016","journal-title":"Updates Surg"},{"issue":"2","key":"4645_CR18","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1007\/s00464-018-6329-3","volume":"33","author":"S Liu","year":"2019","unstructured":"Liu S, Suzuki T, Murray BW et al (2019) Robotic transanal minimally invasive surgery (TAMIS) with the newest robotic surgical platform: a multi-institutional North American experience. Surg Endosc 33(2):543\u2013548","journal-title":"Surg Endosc"},{"issue":"3","key":"4645_CR19","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1097\/DCR.0000000000001223","volume":"62","author":"MJ Tomassi","year":"2019","unstructured":"Tomassi MJ, Taller J, Yuhan R, Ruan JH, Klaristenfeld DD (2019) Robotic transanal minimally invasive surgery for the excision of rectal neoplasia: clinical experience with 58 consecutive patients. Dis Colon Rectum 62(3):279\u2013285","journal-title":"Dis Colon Rectum"},{"issue":"7","key":"4645_CR20","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1007\/s10151-015-1283-8","volume":"19","author":"S Atallah","year":"2015","unstructured":"Atallah S, Martin-Perez B, Parra-Davila E et al (2015) Robotic transanal surgery for local excision of rectal neoplasia, transanal total mesorectal excision, and repair of complex fistulae: clinical experience with the first 18 cases at a single institution. Tech Coloproctol 19(7):401\u2013410","journal-title":"Tech Coloproctol"},{"issue":"4","key":"4645_CR21","doi-asserted-by":"publisher","first-page":"e2413","DOI":"10.1002\/rcs.2413","volume":"18","author":"KY Fok","year":"2022","unstructured":"Fok KY, Arabaci F, Barto W (2022) Flexible robotic transanal resection of rectal polyps-a case series. Int J Med Robot 18(4):e2413","journal-title":"Int J Med Robot"},{"issue":"5","key":"4645_CR22","doi-asserted-by":"publisher","first-page":"578","DOI":"10.1002\/bjs.9454","volume":"101","author":"R Hompes","year":"2014","unstructured":"Hompes R, Rauh SM, Ris F, Tuynman JB, Mortensen NJ (2014) Robotic transanal minimally invasive surgery for local excision of rectal neoplasms. Br J Surg 101(5):578\u2013581","journal-title":"Br J Surg"},{"issue":"2","key":"4645_CR23","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1007\/s10151-020-02286-7","volume":"25","author":"S Liu","year":"2021","unstructured":"Liu S, Kelley SR, Behm KT (2021) Single-port robotic transanal minimally invasive surgery (SPR-TAMIS) approach to local excision of rectal tumors. Tech Coloproctol 25(2):229\u2013234","journal-title":"Tech Coloproctol"},{"issue":"1","key":"4645_CR24","doi-asserted-by":"publisher","first-page":"793","DOI":"10.1007\/s00464-020-08257-1","volume":"36","author":"KW Lo","year":"2022","unstructured":"Lo KW, Blitzer DN, Shoucair S, Lisle DM (2022) Robotic transanal minimally invasive surgery: a case series. Surg Endosc 36(1):793\u2013799","journal-title":"Surg Endosc"},{"issue":"5","key":"4645_CR25","doi-asserted-by":"publisher","first-page":"e1948","DOI":"10.1002\/rcs.1948","volume":"14","author":"JC Ngu","year":"2018","unstructured":"Ngu JC, Kuo LJ, Kung CH et al (2018) Robotic transanal minimally invasive surgery for rectal cancer after clinical complete response to neoadjuvant chemoradiation. Int J Med Robot 14(5):e1948","journal-title":"Int J Med Robot"},{"issue":"4","key":"4645_CR26","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1007\/s11701-019-01021-1","volume":"14","author":"JO Paull","year":"2020","unstructured":"Paull JO, Graham A, Parascandola SA et al (2020) The outcomes of two robotic platforms performing transanal minimally invasive surgery for rectal neoplasia: a case series of 21 patients. J Robot Surg 14(4):573\u2013578","journal-title":"J Robot Surg"},{"issue":"3","key":"4645_CR27","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1007\/s11605-022-05475-x","volume":"27","author":"J Wassef","year":"2023","unstructured":"Wassef J, Masoudpoor H, Fortgang A et al (2023) Robotic transanal minimally invasive surgery for benign and malignant rectal lesions: a single-institution experience. J Gastrointest Surg 27(3):601\u2013603","journal-title":"J Gastrointest Surg"},{"issue":"2","key":"4645_CR28","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1177\/1553350619892490","volume":"27","author":"HL Yao","year":"2020","unstructured":"Yao HL, Ngu JC, Lin YK, Chen CC, Chang SW, Kuo LJ (2020) Robotic transanal minimally invasive surgery for rectal lesions. Surg Innov 27(2):181\u2013186","journal-title":"Surg Innov"},{"issue":"10","key":"4645_CR29","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.ciresp.2017.09.006","volume":"95","author":"M Gomez Ruiz","year":"2017","unstructured":"Gomez Ruiz M, Cagigas Fernandez C, Alonso Martin J et al (2017) Robotic assisted transanal polypectomies: is there any indication? Cir Esp 95(10):601\u2013609","journal-title":"Cir Esp"},{"issue":"6","key":"4645_CR30","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1002\/bjs5.88","volume":"2","author":"E Luzietti","year":"2018","unstructured":"Luzietti E, Pellino G, Nikolaou S et al (2018) Comparison of guidelines for the management of rectal cancer. BJS Open 2(6):433\u2013451","journal-title":"BJS Open"},{"issue":"10","key":"4645_CR31","doi-asserted-by":"publisher","first-page":"1149","DOI":"10.4240\/wjgs.v13.i10.1149","volume":"13","author":"MJ Kim","year":"2021","unstructured":"Kim MJ, Lee TG (2021) Transanal minimally invasive surgery using laparoscopic instruments of the rectum: a review. World J Gastrointest Surg 13(10):1149\u20131165","journal-title":"World J Gastrointest Surg"}],"container-title":["International Journal of Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00384-024-04645-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00384-024-04645-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00384-024-04645-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T09:20:05Z","timestamp":1736328005000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00384-024-04645-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,9]]},"references-count":31,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4645"],"URL":"https:\/\/doi.org\/10.1007\/s00384-024-04645-4","relation":{},"ISSN":["1432-1262"],"issn-type":[{"value":"1432-1262","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,9]]},"assertion":[{"value":"2 May 2024","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 May 2024","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"71"}}