ArticlePediatric surgery international2025
Effectiveness of the laparoscopic approach for persistent cloaca at a single institution: a retrospective study.
Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Critical considerations in urogenital sinus management in persistent cloaca repair.Pediatric surgery international · 2025Article
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Authors and funding
4 authors.
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Abstract
purposeOur institution introduced a laparoscopic approach based on laparoscopy-assisted anorectoplasty (LAARP) to treat persistent cloaca (PC). This study aimed to describe our technique and evaluate its outcomes in comparison with those of previous approaches.
methodsWe retrospectively analyzed 20 pediatric patients with PC who underwent anorectoplasty at our institution between January 2009 and September 2024. Rectal mobilization and anorectoplasty have previously been performed using the conventional transabdominal and/or posterior sagittal approaches. Laparoscopic rectal mobilization and fistula division using LAARP was introduced in 2016. Patients treated using these methods were divided into conventional and laparoscopic groups and analyzed.
resultsNo significant differences in the clinical data were observed between the two groups, except for body weight. Similarly, no significant differences were observed in the surgical data. The postoperative follow-up duration was insufficient to adequately evaluate fecal incontinence. No intraoperative complications were observed in the laparoscopic group.
conclusionsTo the best of our knowledge, this is the first study to compare laparoscopic and conventional approaches for treating PC at a single institution. Despite these limitations, our findings suggest that the laparoscopic approach may be safer than the conventional approach for PC repair with a lower risk of intraoperative vaginal injury.
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