title: Feasibility of Transanal Minimally Invasive Surgery (TAMIS) for Rectal Tumours and Its Impact on Quality of Life - The Bristol Series.
abstract: OBJECTIVE
  We assessed feasibility of the transanal minimally invasive surgery (TAMIS) procedure and quality of life postoperatively.
  
  
  METHODS
  A total of 28 patients with rectal lesions were treated using TAMIS at Southmead Hospital, North Bristol NHS Trust. Outcome measures included feasibility of excision, negative margin (R0) resection rate, length of hospital stay, morbidity and mortality, and postoperative quality of life associated with anal incontinence. Results; TAMIS was feasible in 90% of cases. R0 resection was 82%. The mean length of hospital stay was 1.5 days. Six (21%) patients experienced acute urinary retention postoperatively. One (4%) patient was re-admitted with rectal bleeding. One patient experienced a perforation. Mortality was 0%. Postoperative quality of life indicated low severity of symptoms of anal incontinence.
  
  
  CONCLUSIONS
  This study demonstrates that TAMIS is a feasible option in the treatment of rectal tumours and does not impair quality of life postoperatively.
authors.affiliation: Department of General Surgery, Southmead Hospital, North Bristol NHS Trust, Bristol, U.K.
authors.forename: Haytham
authors.initials: H
authors.lastname: Sumrien
authors.affiliation: Department of General Surgery, Southmead Hospital, North Bristol NHS Trust, Bristol, U.K.
authors.forename: Christopher
authors.initials: C
authors.lastname: Dadnam
authors.affiliation: Department of Population Medicine, University Hospital, Cardiff University, Cardiff, Wales, U.K.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Hewitt
authors.affiliation: Department of General Surgery, Southmead Hospital, North Bristol NHS Trust, Bristol, U.K. Kathryn.mccarthy@nbt.nhs.uk.
authors.forename: Kathryn
authors.initials: K
authors.lastname: McCarthy
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects; D011788:Quality of Life; D012004:Rectal Neoplasms / Q000601:surgery*; D016896:Treatment Outcome
keywords: Rectal tumour; TAMIS; TaTME; laparoscopic surgery