{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:15:02Z","timestamp":1790694902692,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T00:00:00Z","timestamp":1589846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Robotic transanal minimally invasive surgery (R\u2010TAMIS) is gaining traction around the globe as an alternative to laparoscopic conventional TAMIS for local excision of benign and early malignant rectal lesions. The aim was to analyse patient and oncological outcomes of R\u2010TAMIS for consecutive cases in a single centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective analysis of consecutive R\u2010TAMIS procedures over a 12\u2010month period was performed. Data were collated from hospital databases and theatre registers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven patients (six men, five women), mean age 69.81\u00a0years (51\u221292\u00a0years), underwent R\u2010TAMIS over 12\u00a0months utilizing a da Vinci Xi platform<jats:bold>.<\/jats:bold> The mean lesion size was 36\u00a0mm (20\u201360\u00a0mm) with a mean distance from the anal verge of 7.5\u00a0cm (3\u201314\u00a0cm). Five lesions were posterior in anatomical location, four anterior, one right lateral and one left lateral. All procedures were performed in the lithotomy position using a GelPOINT Path Platform. Mean operative time was 64\u00a0min (40\u2013100\u00a0min). Complete resection was achieved in 10\/11 patients with two patients being upgraded to a diagnosis of adenocarcinoma. Nine patients were diagnosed with dysplastic lesions. Four patients had a false positive diagnosis of an invasive tumour on MRI. Six patients required suturing for full\u2010thickness resections. One patient had a postoperative bleed requiring repeat endoscopy and clipping. One patient (full\u2010thickness resection of T3 tumour) proceeded to a formal resection without difficulty with no residual disease (T0N0, 0\/22). One patient with a fully resected T2 tumour is undergoing a surveillance protocol. The mean length of stay was 1\u00a0day with two patients having a length of stay of 2\u00a0days and one patient of 4\u00a0days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>R\u2010TAMIS could potentially represent a safe novel approach for local resection of rectal lesions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15045","type":"journal-article","created":{"date-parts":[[2020,3,21]],"date-time":"2020-03-21T07:35:46Z","timestamp":1584776146000},"page":"1422-1428","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Robotic transanal minimally invasive surgery \u2013 technical, oncological and patient outcomes from a single institution"],"prefix":"10.1111","volume":"22","author":[{"given":"E. J.","family":"Baker","sequence":"first","affiliation":[{"name":"Colorectal Surgery Unit Peter MacCallum Cancer Centre Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2947-9206","authenticated-orcid":false,"given":"P. S.","family":"Waters","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Peter MacCallum Cancer Centre Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1645-4301","authenticated-orcid":false,"given":"O.","family":"Peacock","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Peter MacCallum Cancer Centre Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Narasimhan","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Peter MacCallum Cancer Centre Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Larach","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Peter MacCallum Cancer Centre Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"McCormick","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Peter MacCallum Cancer Centre Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. G.","family":"Heriot","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Peter MacCallum Cancer Centre Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Warrier","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Peter MacCallum Cancer Centre Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Lynch","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Peter MacCallum Cancer Centre Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,19]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Australian Institute of Health and Welfare.Colorectal and other digestive\u2010tract cancers. Cancer series no. 114. Cat. no. 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