Dia 1

Albert M. Wolthuis, MD. Anthony de Buck van Overstraeten, MD. Andr DHoore, MD, PhD.Transanal Rectal Excision: Video Demonstration Of A TAMIS TechniqueDepartment of Abdominal SurgeryProblems with laparoscopicdistal rectal mobilisationVisualisationBony landmarksAdaptation of instruments

TAMISIntraluminalExtraluminal~TEM/TEO~TATA, TSPM, MA-NOS, Rectal adenoma Bottom-up TMEEarly rectal cancer Reverse TMETAMIS: TransAnal Minimally Invasive Surgery

TAMISIntraluminalExtraluminal~TEM/TEO~TATA, TSPM, MA-NOS, Rectal adenoma Bottom-up TMEEarly rectal cancer Reverse TMETAMIS: TransAnal Minimally Invasive Surgery

Wolthuis et al,Tech Coloproctol. 2012;16:161-165uterusendopelvic fascia1234

Manual coloanal anastomosis

Transanal rectal excisionPromising techniquedistal rectal mobilisation under direct visionFuture: Improvement of instrumentsRobotics?NOTES TME