{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T03:40:27Z","timestamp":1778557227709,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,3,29]],"date-time":"2017-03-29T00:00:00Z","timestamp":1490745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:p>\n                    Background: The aim of this study was to evaluate the feasibility, safety, perioperative morbidity, and short-term outcomes of the transanal minimally invasive surgery (TAMIS) technique. Methods: This is a descriptive review of prospectively collected data from 32 consecutive patients who underwent TAMIS procedures in our colorectal unit over a 40-month period. GelPOINT Path port was used in all cases. Demographic data, indications, tumor characteristics, morbidity, and follow-up data were collected. Primary endpoints included feasibility, safety, perioperative morbidity, and resection quality. Results: Fifteen adenomas, 12 carcinomas, 1 gastrointestinal stromal tumor, and 1 neuroendocrine tumor were locally excised. Additionally, 3 pelvic abscesses were drained transanally using the TAMIS port. Mean distance from the anal verge was 5.6 \u00b1 1.5 cm. Early postoperative complications occurred in 22%, with only one case of major complication (3.1%) requiring reoperation, and no postoperative mortality. Four carcinomas were understaged (33.3%) and 1 adenoma overstaged (6.7%) preoperatively. Three carcinomas were not suspected preoperatively (25%). Microscopic positive lateral margin was found in one case, and no affected deep margin was found. Fragmentation rate was 6.9%, 2 cases, both lesions over 20 cm\n                    <jats:sup>2<\/jats:sup>\n                    . In cases of fit patients with high-risk carcinomas, 2 underwent immediate salvage surgery and another 2 refused and were treated with adjuvant radiotherapy. With a median follow-up of 26 months, the overall recurrence rate was 10.3%, 1 adenoma and 2 carcinomas. Conclusion: TAMIS seems to be a safe and reproducible procedure for local excision of well-selected rectal lesions with low morbidity and good functional outcomes.\n                  <\/jats:p>","DOI":"10.1177\/1553350617700803","type":"journal-article","created":{"date-parts":[[2017,3,30]],"date-time":"2017-03-30T01:44:34Z","timestamp":1490838274000},"page":"336-342","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Indications and Outcomes From 32 Consecutive Patients for the Treatment of Rectal Lesions by Transanal Minimally Invasive Surgery"],"prefix":"10.1177","volume":"24","author":[{"given":"Luis J.","family":"Garc\u00eda-Fl\u00f3rez","sequence":"first","affiliation":[{"name":"Hospital Universitario San Agust\u00edn, Avil\u00e9s, Spain"},{"name":"University of Oviedo, Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge L.","family":"Otero-D\u00edez","sequence":"additional","affiliation":[{"name":"Hospital Universitario San Agust\u00edn, Avil\u00e9s, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana I.","family":"Encinas-Mu\u00f1iz","sequence":"additional","affiliation":[{"name":"Hospital Universitario San Agust\u00edn, Avil\u00e9s, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"S\u00e1nchez-Dom\u00ednguez","sequence":"additional","affiliation":[{"name":"Hospital Universitario San Agust\u00edn, Avil\u00e9s, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,3,29]]},"reference":[{"key":"bibr1-1553350617700803","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-0927-z"},{"key":"bibr2-1553350617700803","unstructured":"Edge SB, Byrd DR, Compton CC, eds. 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