CAJ | 학술논문

经肛门微创手术（TAMIS）是将单孔腹腔镜通道置入肛管，利用常规腹腔镜器械经肛门途径完成直肠肿瘤局部切除或全直肠系膜切除术的一种经肛门进行的微创手术，是经肛门内镜显微手术（TEM）后发展起来的另一种经肛门途径的内镜下手术。初步资料显示，其与TEM术式相比，TAMIS术式可能具有花费小和学习曲线短等优点，更易于推广。目前，TAMIS术式不仅应用于直肠肿瘤的局部切除，而且在经肛门全直肠系膜切除术（taTME）中也体现其应用前景，后者也被称为TAMIS平台的taTME，即TAMIS-TME。现有资料显示，TAMIS术式具有一定的安全性和有效性，但是该术式开展时间不长，治疗效果有待于更大样本和长期随访的循证医学证据进行验证。
경항문미창수술（TAMIS）시장단공복강경통도치입항관，이용상규복강경기계경항문도경완성직장종류국부절제혹전직장계막절제술적일충경항문진행적미창수술，시경항문내경현미수술（TEM）후발전기래적령일충경항문도경적내경하수술。초보자료현시，기여TEM술식상비，TAMIS술식가능구유화비소화학습곡선단등우점，경역우추엄。목전，TAMIS술식불부응용우직장종류적국부절제，이차재경항문전직장계막절제술（taTME）중야체현기응용전경，후자야피칭위TAMIS평태적taTME，즉TAMIS-TME。현유자료현시，TAMIS술식구유일정적안전성화유효성，단시해술식개전시간불장，치료효과유대우경대양본화장기수방적순증의학증거진행험증。
Transanal minimally invasive surgery (TAMIS) is a kind of minimally invasive surgery that local resection or total mesorectal excision for rectal neoplasm is performed through the use of multichannel port (single port) transanally. Compared to transanal endoscopic microsurgery (TEM) approach, TAMIS offers an alternative to TEM for rectal neoplasm, and shows the advantage of lower cost and shorter learning curve. TAMIS approach has been used not only in the local resection of rectal neoplasm but also in transanal total mesorectal excision (transanal TME), which is also called TAMIS-TME, in recent four years. The safety and efficacy of TAMIS approach has been shown in the currently published literatures. However, TAMIS approach has to wait for more evidence-based data with larger-scale and longer follow-up to get its validation.