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Transanal Minimally Invasive Surgery Assisted Single Incision Low Anterior Resection With Total Mesorectal Excision (Tamis Assisted LAR Tme) in a Cadaver Model
Elisabeth C. Mclemore*1, Alisa M. Coker1, Bikash Devaraj1, Jeffrey Chakedis1, Ali Maawy1, Tazo Inui1, Mark a. Talamini1, Santiago Horgan1, Michael R. Peterson2, Patricia Sylla3, Sonia Ramamoorthy1
1Surgery, UC San Diego, La Jolla, CA; 2Pathology, UC San Diego, La Jolla, CA; 3Surgery, Massachusetts General, Boston, MA



The purpose of this video is to demonstrate the feasibility of an innovative technique for the surgical management of rectal cancer: trans anal minimally invasive surgery assisted low anterior resection with total mesorectal excision (TAMIS assisted LAR TME) in a cadaver model. Trans anal LAR via natural orifice translumenal endoscopic surgery (NOTES) has been reported in cadaveric series using rigid transanal platforms. This procedure has not been described using a combination of a single incision laparoscopy and TAMIS trans anal endoscopic platform. Herein, we describe the first cadaveric series of TAMIS assisted laparoscopic LAR with TME.


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