Cirugía transanal mínimamente invasiva (TAMIS) en el tratamiento del  cáncer de recto temprano

Erick Rolando Rocha Guevara; Ingrid Gainsborg Rivas; Jorge Camacho Terrazas; Heber Quiroga Vía Heber Quiroga Vía

doi:10.58296/rm.v27i1.32

Authors

Erick Rolando Rocha Guevara Servicio de Oncología, Clínica Los Ángeles
Ingrid Gainsborg Rivas Servicio de gastroenterología y endoscopía, Clínica Los Ángeles
Jorge Camacho Terrazas Servicio de gastroenterología y endoscopía, Hospital Univalle Norte
Heber Quiroga Vía Heber Quiroga Vía Servicio de gastroenterología y endoscopía, Clínica Los Ángeles

DOI:

https://doi.org/10.58296/rm.v27i1.32

Keywords:

Cáncer colorrectal, microcirugía transanal endoscópica

Abstract

El TAMIS es una técnica mínimamente invasiva que evita la cirugía resectiva convencional. Surgió como una alternativa buena al TEM. El objetivo de este estudio fue demostrar la factibilidad y seguridad del TAMIS en nuestro medio mediante el reporte de una serie de casos tratados en nuestra institución. De enero 2019 a julio 20121 tratamos 5 pacientes, 4 con lesiones malignas tempranas y l con lesión premaligna. El tiempo quirúrgico, promedio fue de 51 minutos, el tamaño promedio de las lesiones fue de 2.2 cms. La estancia hospitalaria fue de 1 día, no se tuvieron complicaciones. No hubo fragmentación de la pieza quirúrgica y los márgenes quirúrgicos fueron negativos. El TAMIS parece ser una técnica factible y segura y la consideramos una alternativa buena, menos traumática y más económica, ante el TEM y la cirugía convencional.

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References

Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68:394-424. DOI: https://doi.org/10.3322/caac.21492

Neal Wilkinson. Management o rectal cancer. Surg Clin North Am. 2020 Jun;100(3):615-628. DOI: https://doi.org/10.1016/j.suc.2020.02.014

National Comprehensive Cancer Network. NCCN. Washington 2020: Clinical practice guidelines in oncology. Rectal cancer. Version 1. Disponible en: https://www.nccn.org/professionals/physician_gls/pdf/rectal.pdf

Allaix ME, Fichera A. Modern rectal cancer multidisciplinary treatment: the role of radiation and surgery. Ann Surg Oncol 2013;20:2921-2928 DOI: https://doi.org/10.1245/s10434-013-2966-x

Buess G, Theiss R, Hutterer F, Pichlmaier H, Pelz C, Holfeld T, et al. Transanal endoscopic surgery of the rectum - testing a new method in animal experiments. Leber Magen Darm 1983;13(2):73-7.

Smart Ch, Cunningham Ch. Transanal endoscopic microsurgery. Best Practice & Research Clinical Gastroenterology 2014;28:142-157. DOI: https://doi.org/10.1016/j.bpg.2013.11.005

Moore JS, Cataldo PA, Osler T, et al. Transanal endoscopic microsurgery is more effective than traditional transanal excision for resection of rectal masses. Dis Colon Rectum. 2008;51:1026-1030. DOI: https://doi.org/10.1007/s10350-008-9337-x

De Graaf EJ, Burger JW, Van Ijsseldijk AL, et al. Transanal endoscopic micro- surgery is superior to transanal excision of rectal adenomas. Colorectal Dis. 2011;13:762-767. DOI: https://doi.org/10.1111/j.1463-1318.2010.02269.x

Barendse RM, van den Broek FJ, Dekker E, et al. Systematic review of endoscopic mucosal resection versus transanal endoscopic microsurgery for large rectal adenomas. Endoscopy. 2011;43:941-949. DOI: https://doi.org/10.1055/s-0030-1257025

Arezzo A, Passera R, Saito Y, et al. Systematic review and meta-analysis of endoscopic submucosal dissection versus transanal endoscopic microsurgery for large noninvasive rectal lesions. Surg Endosc. 2014;28:427-438. DOI: https://doi.org/10.1007/s00464-013-3238-3

Barendse RM, Dijkgraaf MG, Rolf UR, et al. Colorectal surgeons learning curve of transanal endoscopic microsurgery. Surg Endosc. 2013;27:3591-3602. DOI: https://doi.org/10.1007/s00464-013-2931-6

Maslekar S, Pillinger SH, Sharma A, et al. Cost analysis of transanal endoscopic microsurgery for rectal tumours. Colorectal Dis. 2007;9:229-234. DOI: https://doi.org/10.1111/j.1463-1318.2006.01132.x

Atallah S, Albert M, Larach S. Transanal minimally invasive surgery: A giant leap forward. Surg Endosc. 2010;24:2200-2205. DOI: https://doi.org/10.1007/s00464-010-0927-z

Burke JP, Albert M. Transanal minimally invasive surgery (TAMIS): Pros and cons of this evolving procedure / Seminars in Colon and Rectal Surgery.2015;26:36-40 . DOI: https://doi.org/10.1053/j.scrs.2014.10.009

Lee L, Kelly J, Nassif GJ, Keller D, Debeche Adams T, Mancuso P, et al. Establishing the learning curve of transanal minimally invasive surgery for local excision of rectal neoplasms. Surg Endosc. 2017; Published online DOI: https://doi.org/10.1007/s00464-017-5817-1

Schoonyoung H, Quinteros F, Martin-Perez B, et al. Todo es. Surg Endosc. 2014;28:S427.

Albert MR, Atallah SB, DeBeche-Adams TC, et al. Transanal minimally invasive surgery (TAMIS) for local excision of benign neoplasms and early-stage rectal cancer: efficacy and outcomes in the first 50 patients. Dis Colon Rectum. 2013;56:301-307. DOI: https://doi.org/10.1097/DCR.0b013e31827ca313

Heafner TA, Glasgow SC. A critical review of the role of local excision in the treatment of early (T1 and T2) rectal tumors. J Gastrointest Oncol. 2014;5(5): 345-52.

Gorgun IE, Aytac E, Costedio MM, et al. Transanal endoscopic surgery using a single access port: a practical tool in the surgeon's toybox. Surg Endosc. 2014;28:1034-1038. DOI: https://doi.org/10.1007/s00464-013-3267-y

Lee TG, Lee SJ. Transanal single-port microsurgery for rectal tumors: minimal invasive surgery under spinal anesthesia. Surg Endosc. 2014;28:271-280. DOI: https://doi.org/10.1007/s00464-013-3184-0

Seva-Pereira G, Trombeta VL, Capochim Romagnolo LG. Transanal minimally invasive surgery (TAMIS) using a new disposable device: our initial experience. Tech Coloproctol. 2014;18:393-397. DOI: https://doi.org/10.1007/s10151-013-1036-5

Hompes R, Ris F, Cunningham C, et al. Transanal glove port is a safe and cost-effective alternative for transanal endoscopic microsurgery. Br J Surg. 2012;99:1429-1435. DOI: https://doi.org/10.1002/bjs.8865

Canda AE, Terzi C, Sagol O, et al. Transanal single-port access microsurgery (TSPAM). Surg Laparosc Endosc Percutan Tech. 2012;22:349-353. DOI: https://doi.org/10.1097/SLE.0b013e3182571831

Lim SB, Seo SI, Lee JL, et al. Feasibility of transanal minimally invasive surgery for midrectal lesions. Surg Endosc. 2012;26:3127-3132. DOI: https://doi.org/10.1007/s00464-012-2303-7

Alessandro C, Daniela M, Michele M, et al. Glove port technique for transanal endoscopic microsurgery. Int J Surg Oncol. 2012;2012:383025. DOI: https://doi.org/10.1155/2012/383025

Barendse RM, Doornebosch PG, Bemelman WA, et al. Transanal employment of single access ports is feasible for rectal surgery. Ann Surg. 2012;256:1030-1033. DOI: https://doi.org/10.1097/SLA.0b013e3182523b31

Ragupathi M, Vande Maele D, Nieto J, et al. Transanal endoscopic video-assisted (TEVA) excision. Surg Endosc. 2012;26:3528-3535. DOI: https://doi.org/10.1007/s00464-012-2399-9

Lorenz C, Nimmesgern T, Langwieler TE. Transanal endoscopic surgery using different single-port devices. Surg Technol Int. 2011:107-111.

Cid RC, Perez JC, Elosua TG, et al. Transanal resection using a single port trocar: a new approach to NOTES. Cir Esp. 2011;89:20-23. DOI: https://doi.org/10.1016/S2173-5077(11)70004-7

van den Boezem PB, Kruyt PM, Stommel MW, et al. Transanal single-port surgery for the resection of large polyps. Dig Surg. 2011;28: 412-416. DOI: https://doi.org/10.1159/000334882

Dekkers N, Boonstra J, Moons L, Hompes R, Bastiaansen B, Tuynman J, et al. Transanal minimally invasive surgery (TAMIS) versus endoscopi submucosal dissection (ESD) for resection of nonpedunculated rectal lesiones (TRIASSIC study): study protocol of European multicenter randomized controlled trial. BMB Gastroenterology. 2020;20:225. DOI: https://doi.org/10.1186/s12876-020-01367-z