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Transanal Minimally Invasive Surgery for Total Mesorectal Excision (Tamis-Tme) With Laparoscopic Assistance
Michael Grieco^*, Elia Charbel Abboud, James R. Williams, Sowsan H. Rasheid, Jorge Marcet, Jaime E. Sanchez
Surgery, University of South Florida, Tampa, FL

This video demonstrates transanal minimally invasive surgery for total mesorectal excision (TAMIS-TME) with laparoscopic assistance. The patient is an 84 year old male with a T3N1M0 rectal adenocarcinoma. After induction, a transanal port is fixed above the sphincters, insufflation is obtained, and a transanal TME is performed. The abdominal portion of the proctectomy follows with laparoscopic ligation of the inferior mesenteric artery and mobilization of the left colon. The rectum is extracorporealized transanally, and transected at the rectosigmoid junction. A diverting ileostomy is created, and a coloanal anastomosis completes the procedure.

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