ArticlePediatric surgery international2020
Laparoscopic surgical technique to enhance the management of anorectal malformations: 330 cases' experience in a single center.
Article in Pediatric surgery international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 26 citations in OpenAlex.
- 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
- Comparative study of robot-assisted versus laparoscopic surgery for rectovestibular fistula.Surgical endoscopy · 2026Article
- Challenging the standard: comparison of outcomes between laparoscopically assisted anorectoplasty (LAARP) and posterior sagittal anorectoplasty (PSARP) in the correction of rectobulbar fistula in pediatric patients.Pediatric surgery international · 2026Article
- Efficacy of laparoscopic assisted anoplasty in the treatment of intermediate type rectovestibular fistula.BMC pediatrics · 2025Article
- Anorectal prolapse after anorectal reconstruction: Incidence and risk factors according to the ARM-Net Consortium.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- Wound dehiscence rates decreased in reconstructive surgery of anorectal malformations after introduction of a standardized postoperative treatment program.World journal of pediatric surgery · 2025Article
- Laparoscopic-assisted distal colon excision and proximal colon pull-through anorectoplasty for anorectal malformation.Frontiers in pediatrics · 2024Article
- Significance of searching for ganglia in the terminal rectum/fistula of complex anorectal malformations: Related to defecation function.Frontiers in pediatrics · 2023Article
- Global Development of Research on Anorectal Malformations over the Last Five Decades: A Bibliometric Analysis.Children (Basel, Switzerland) · 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-assisted anorectoplasty for intermediate type rectovestibular fistula: a preliminary report.Pediatric surgery international · 2020Article
- Reply to the letter to the editor concerning: "Normal anorectal musculatures and changes in anorectal malformation."Pediatric surgery international · 2020Article
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Authors and funding
14 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLaparoscopic-assisted anorectoplasty (LAARP) is considered to benefit the patients with vesico-prostatic fistula. The aim of this study is to present the details of our LAARP technique for improving the short- and long-term outcomes in the patients with high and intermediate types of anorectal malformations (ARMs).
methods330 patients with high-type (174 cases) and intermediate-type (156 cases) anorectal malformation (aged 8 days to 15 years) underwent LAARP from 2001 to 2019. LAARP was performed for full mobilization and resection of the dilated rectum, intra-rectal closure of the fistula, visualization, and enlargement of the center of the longitudinal muscle tube (LMT) from pelvic and perineal aspects.
resultsLAARP was performed in all patients and no patient was converted to open procedure. The urethral diverticulum was found in three patients (1.02%, 3/294) according to postoperative protocol voiding cystourethrogram but was not associated with any symptoms such as urinary tract infection and dysuria. Rectal prolapse requiring surgical intervention developed in 25 (7.6%) of 330 patients. Anal stricture occurred in three patients and re-do anoplasty was performed 5 months after LAARP. Anal retraction occurred in two patients and re-pull-through was conducted at 5 and 6 days, respectively, after LAARP. 228 patients who were older than 3 years were followed up. The median follow-up period was 5.8 years (range 3-15 years). 217 patients (95.2%) had voluntary bowel movements; 202 patients (88.6%) were free from soiling or with grade 1 soiling; 30 patients (13.6%) and 25 patients (11.3%) suffered from grade 1 and grade 2 constipation, respectively, while no patient had grade 3 constipation.
conclusionOur experience demonstrates that the LAARP has advantages on rectal mobilization and resection, intra-rectal fistula closure and accurate tunnel formation in the LMT with minimal trauma. The improvement of the short-term and long-term outcomes after LAARP has been shown not only for high-type ARM but also for intermediate-type ARM.
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