{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:54:01Z","timestamp":1747184041585,"version":"3.40.5"},"reference-count":15,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,5,14]],"date-time":"2023-05-14T00:00:00Z","timestamp":1684022400000},"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":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Total proctocolectomy with ileal pouch\u2212anal anastomosis (IPAA) is the standard surgical treatment modality for familial adenomatous polyposis (FAP). It is challenging to perform proctectomy and preserve anal sphincter function. In this video, precise mucosectomy of the anal canal via transanal minimally invasive surgery (MAC\u2010TAMIS) is reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An asymptomatic 35\u2010year\u2010old man was found to have a positive faecal occult blood test in routine screening examination and was diagnosed with FAP on colonoscopic examination. The patient was scheduled for total proctocolectomy with IPAA using the TAMIS approach combined with transanal total mesorectal excision. MAC\u2010TAMIS was performed to preserve the internal anal sphincter during laparoscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The total duration of surgery was 543\u2009min, blood loss was minimal, and the postoperative course was uneventful. The postoperative hospital stay was 12\u2009days. The pathological findings demonstrated no evidence of malignancy. Gastrographic imaging from the ileostomy showed sufficient size of the J pouch and good tonus of the anus at 6\u2009months after surgery. The Wexner scores at 1, 3 and 6\u2009months after ileostomy closure were 5, 3 and 0, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The MAC\u2010TAMIS technique is safe and feasible during total proctocolectomy with IPAA in patients with FAP. This technique allows us to precisely preserve the internal anal sphincter using a laparoscopic approach.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.16595","type":"journal-article","created":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T04:44:59Z","timestamp":1684125899000},"page":"1529-1533","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mucosectomy of the anal canal via transanal minimally invasive surgery combined with transanal total mesorectal excision for familial adenomatous polyposis: A technical note"],"prefix":"10.1111","volume":"25","author":[{"given":"Ryu","family":"Matsumoto","sequence":"first","affiliation":[{"name":"Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichiro","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3376-239X","authenticated-orcid":false,"given":"Pramod","family":"Nepal","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiaki","family":"Kita","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kan","family":"Tanabe","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kentaro","family":"Hokonohara","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soichi","family":"Satake","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Hamada","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masumi","family":"Wada","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaaki","family":"Arigami","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Kurahara","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takao","family":"Ohtsuka","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,14]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_9_2_1","DOI":"10.1136\/gutjnl-2019-319438"},{"doi-asserted-by":"publisher","key":"e_1_2_9_3_1","DOI":"10.1038\/ajg.2017.212"},{"doi-asserted-by":"publisher","key":"e_1_2_9_4_1","DOI":"10.1089\/lap.2017.0397"},{"doi-asserted-by":"publisher","key":"e_1_2_9_5_1","DOI":"10.1038\/ajg.2014.435"},{"doi-asserted-by":"publisher","key":"e_1_2_9_6_1","DOI":"10.1007\/s00464-019-06674-5"},{"key":"e_1_2_9_7_1","first-page":"259","article-title":"Transanal endoscopic anorectal mucosectomy with ileal pouch anal anastomosis for familial adenomatous polyposis. 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