Transanal minimally invasive rectal resection for deep endometriosis: a promising technique

S L Vlek, Vlek SL, Stijn L. Vlek, Lier MCI, M C I Lier, Marit C. I. Lier, Koedam TWA, T. W. A. Koedam, I Melgers, Melgers I, J J M L Dekker, J. Dekker, Dekker JJML, Bonjer JH, Jaap H. Bonjer, J H Bonjer, Velja Mijatovic, V. Mijatovic, Jurriaan B. Tuynman, J B Tuynman
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2016 · vol. 19(6) , pp. 576–581 · doi:10.1111/codi.13569 · PMID:27885759 · W2549635332
article OA: closed CC0 ⤵ 7 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-06 ⓘ

This study describes the transanal minimally invasive surgery (TAMIS) technique for deep rectal endometriosis, finding it feasible with no major complications in five patients, compared to conventional laparoscopic resection.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

AIM: Surgical management of patients with deep endometriosis (DE) of the rectum is difficult. Inflammation and subsequent adhesions due to DE impede access to the lower pelvis and may lead to complications during laparoscopic low anterior resection (LAR). Transanal minimally invasive surgery (TAMIS) is an alternative to an abdominal approach with potential advantages. The aim of this study was to provide a description of the TAMIS technique and to present the perioperative results of TAMIS and of conventional LAR in patients with DE. METHOD: A prospective consecutive cohort of patients undergoing rectal resection for DE had either conventional laparoscopic LAR or TAMIS rectal excision. Pre-, intra- and postoperative parameters, such as patient symptomatology, operating time and postoperative complications were compared between the groups. Quality of life was assessed using the EORTC-QLQ-29/30 questionnaires. RESULTS: Between May 2014 and March 2016 a total of 11 rectal resections were performed, including five TAMIS procedures. No differences were found in the pre-, intra- or postoperative parameters. Two major complications occurred after conventional LAR and none after TAMIS. No differences in quality of life were found between the groups. CONCLUSION: Transanal minimally invasive surgery for DE of the rectum is feasible. Potential advantages include better surgical access to the pelvis, possibly fewer complications than LAR and no extraction incision with no difference in quality of life. Larger prospective studies are required to compare TAMIS with conventional rectal resection.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Endometriosis Postoperative Complications Rectal Diseases Rectum Transanal Endoscopic Surgery Abdomen Abdomen Adult Endometriosis Endometriosis Feasibility Studies Female Humans Laparoscopy Laparoscopy Laparoscopy Operative Time Postoperative Complications Prospective Studies Rectal Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (23)

Cited by (7)

Source provenance

europepmc
last seen: 2026-08-28T06:11:01.063540+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:20:43.714878+00:00
unpaywall
last seen: 2026-08-28T06:28:33.284919+00:00
License: CC0 · commercial use OK