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Twenty First Century Technological Toolbox Innovation for Transanal Minimally Invasive Surgery (TAMIS).

Alice Moynihan1, Patrick Boland1, Ronan A Cahill1,2

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Transanal minimally invasive surgery (TAMIS) is a valuable colorectal surgery technique for rectal neoplasia. Technological advancements can enhance TAMIS, overcoming limitations and improving patient care globally.

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Area of Science:

  • Colorectal surgery
  • Minimally invasive surgical techniques

Background:

  • Transanal minimally invasive surgery (TAMIS) is crucial for treating rectal neoplasia, early-stage cancers, and polyps.
  • TAMIS faces underutilization due to competition from advanced endoscopy and robotic surgery, and proceduralist gatekeeping.

Purpose of the Study:

  • To review potential technological advancements for Transanal minimally invasive surgery (TAMIS).
  • To identify areas for innovation to enhance TAMIS efficacy and patient selection.

Main Methods:

  • Review of potential advancements in five key areas: access, insufflation, visualization, in situ disease characterization, and tissue handling/suturing.
  • Consideration of artificial intelligence for patient selection.

Main Results:

  • Technological innovations can address current TAMIS limitations, including technical constraints and patient selection.
  • Advances in individual components can be applied independently or as a bundle.

Conclusions:

  • Evolving TAMIS practice through technology can offset limitations and increase procedure accuracy.
  • Global adoption of improved TAMIS techniques can significantly enhance patient care for rectal neoplasia.