Transanal minimally invasive surgery (TAMIS)
Northern Sydney Colorectal surgeons are now performing TAMIS procedures to remove large polyps from the rectum. Although most polyps can be removed at colonoscopy, some larger and flatter polyps cannot be removed in this way. TAMIS allows surgeons to use keyhole surgery performed through the anus to remove part of the rectal wall. This is an alternative to the TEM procedure which we have been performing for more than 15 years.
The TAMIS procedure is performed using a flexible platform known as the Gelpoint Path. This same platform is now being used in some patients having complex rectal cancer surgery. The Cecill procedure (transabdominal and transanal total mesorectal excision) is gaining popularity around the world as a way of performing accurate rectal cancer surgery and avoiding a permanent colostomy in patient's with difficult tumours and anatomy. Our surgeons have trained in the Cecil procedure and are now offering this in very select circumstances.