title: Use of transanal minimally invasive surgery for endoscopic resection of rectal tumour: a technical note.
abstract: BACKGROUND
  The aim of this article is to report and discuss a case of lower rectal cancer undergoing endoscopic transanal resection of tumour (ETART) using a transanal minimally invasive surgery (TAMIS) approach.
  
  
  METHODS
  A technical note on a case report. An innovative approach for ETART using TAMIS.
  
  
  RESULTS
  This is the first-ever case report of lower rectal cancer treated by ETART using a TAMIS approach. The procedure was completed successfully without any operative or peri-operative complication. Peri-operative flexible sigmoidoscopy confirmed a wide and patent rectal lumen.
  
  
  CONCLUSIONS
  Use of a TAMIS approach for ETART to remove lower rectal cancer for palliation can be technically very effective compared with conventional ETART, due to the potential advantages of avoiding contaminant fluid spillage, easy access, better visualization compared with conventional ETART, and being user-friendly. The results from larger cohorts of patients undergoing TAMIS ETART are required before recommending the routine use of this technique. However, until then, this approach may be considered as an alternative to conventional ETART.
authors.affiliation: Department of General, Laparoscopic and Endoscopic Colorectal Surgery, Western Sussex Hospitals NHS Trust, Worthing Hospital, UK and surgeon1wrh@hotmail.com.
authors.forename: Muhammad Shafique
authors.initials: MS
authors.lastname: Sajid
authors.affiliation: Department of General Surgery, Queen Elizabeth Hospital, King's Lynn NHS Foundation Trust, UK.
authors.forename: Muhammad I
authors.initials: MI
authors.lastname: Bhatti
authors.affiliation: Department of General, Laparoscopic and Endoscopic Colorectal Surgery, Western Sussex Hospitals NHS Trust, Worthing Hospital, UK and.
authors.forename: M K
authors.initials: MK
authors.lastname: Baig
authors.affiliation: Department of General, Laparoscopic and Endoscopic Colorectal Surgery, Western Sussex Hospitals NHS Trust, Worthing Hospital, UK and.
authors.forename: William F A
authors.initials: WF
authors.lastname: Miles
keywords: Rectal cancer; endoscopic transanal resection of tumour (ETART); transanal minimally invasive surgery (TAMIS)