ArticlePediatric surgery international2018
Long-term outcomes and complications after laparoscopic-assisted anorectoplasty vs. posterior sagittal anorectoplasty for high- and intermediate-type anorectal malformation.
Article in Pediatric surgery international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Postoperative "complications" following laparoscopic-assisted anorectoplasty: A systematic review.Pediatric surgery international · 2020Pooled it
- Comparison of clinical outcome and anal manometry following laparoscopic-assisted anorectoplasty and posterior sagittal anorectoplasty in patients with high and intermediate anorectal malformation: A randomised controlled trial.African journal of paediatric surgery : AJPSTrial
- Effectiveness of the laparoscopic approach for persistent cloaca at a single institution: a retrospective study.Pediatric surgery international · 2025Article
- Review
- Is Collaborative Care the Future of Medicine? Lessons Learned from the Care of Children with Colorectal Conditions.Children (Basel, Switzerland) · 2024Review
- Research progress on risk factors of postoperative functional defecation disorder in anorectal malformation.Pediatric discovery · 2023Review
- Hemi-circumferential mucosal resection and anastomosis procedure for rectal prolapse following anorectoplasty for anorectal malformations.Surgery today · 2023Article
- Perioperative outcomes of laparoscopically assisted anorectoplasty versus conventional procedures for anorectal malformation: a retrospective nationwide database study.Pediatric surgery international · 2022Article
- Refinements in surgical techniques for visualized tunnel formation in laparoscopic-assisted anorectoplasty.Pediatric surgery international · 2021Article
- A novel combined enteroscopy and laparoscopy approach to prevent urethral complications in management of rectourethral fistula.Surgical endoscopy · 2021Article
- Laparoscopic surgical technique to enhance the management of anorectal malformations: 330 cases' experience in a single center.Pediatric surgery international · 2020Article
- Normal anorectal musculatures and changes in anorectal malformation.Pediatric surgery international · 2020Article
- Treatment guidelines for persistent cloaca, cloacal exstrophy, and Mayer-Rokitansky-Küster-Häuser syndrome for the appropriate transitional care of patients.Surgery today · 2019Review
- Single-incision laparoscopic-assisted anorectoplasty for treating children with intermediate-type anorectal malformations and rectobulbar fistula: a comparative study.Pediatric surgery international · 2019Article
- Comparison of diagnostic accuracy for fistulae at ultrasound and voiding cystourethrogram in neonates with anorectal malformation.Pediatric radiology · 2019Article
- Laparoscopic-Assisted Modified Posterior Sagittal Anorectoplasty for Rectobulbar Urethral Fistula of Anorectal Malformation: A Prospective Study.Journal of Indian Association of Pediatric SurgeonsArticle
Corrections and comments
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLaparoscopic-assisted anorectoplasty (LAARP) is a minimally invasive procedure in which the levator ani muscle is left to potentially improve postoperative fecal continence. This study aimed to retrospectively evaluate postoperative complications and long-term outcomes of fecal continence after LAARP and compare them to those after posterior sagittal anorectoplasty (PSARP).
methodsForty-five male patients with high and intermediate anorectal malformation (aged ≥ 4 years) who underwent LAARP or PSARP (LAARP 29, PSARP 16) from 1999 to 2013 were included. Postoperative complications and postoperative fecal continence were retrospectively evaluated and compared. Postoperative complications were also compared before and after introducing a urethroscope during fistula resection.
resultsComplications after LAARP and PSARP were seen in 12 vs. 2 cases (p = 0.09) of mucosal prolapse and in 9 vs. 1 case (p = 0.07) of posterior urethral diverticulum (PUD), respectively. The incidence of PUD decreased after introduction of a urethroscopy from 40% in 8/20 cases to 11% in 1/9 cases. No significant difference was found in terms of fecal continence in both groups.
conclusionThrough our study, greater improvement of postoperative fecal continence after LAARP has not been shown. LAARP was at higher risk for mucosal prolapse and PUD. However, precise dissection of the urethral fistula could be performed after the introduction of urethroscopy.
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