Laparoscopic approach in the management of anorectal malformations

Pediatric Surgery International
Andrea BischoffAlberto Peña

Abstract

Seventeen years have passed since the first description of the laparoscopic approach for anorectal malformation and approximately 68 articles have been published on the subject. In this review article, we aim to describe the advantages as well as the indications and contraindications of this approach when dealing with each specific type of anorectal malformation, according to what has been described in the literature and to our own experience. The ideal and undisputable indication for laparoscopy remains for cases in which the abdomen needs to be entered to repair the malformation. Only 10% of male patients with anorectal malformation are born with a recto-bladder neck fistula that requires an abdominal approach, this represents an ideal indication for laparoscopy. In females, only the complex cloacae with a common channel length greater than 3 cm are the ones that require a laparotomy; they represent about 30% of the cloacae. However, the repair of this type of cloacae also requires sophisticated and technically demanding maneuvers that have never been done laparoscopically. In cases of recto-urethral prostatic fistulas the malformation can be repaired either way: laparoscopically or posterior sagitally. In all other malformat...Continue Reading

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Citations

Apr 14, 2016·Journal of Minimal Access Surgery·María Rodríguez RuizHossein Allal
Mar 17, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Giovanni RuggeriMario Lima
Aug 25, 2016·World Journal of Surgery·Sergey V MinaevIgor Gerasimenko
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Nov 11, 2016·World Journal of Gastrointestinal Surgery·Ashwath S BandiStefano Giuliani
Oct 3, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Tetsuya IshimaruTadashi Iwanaka
Aug 19, 2018·Japanese Journal of Radiology·Takahiro HosokawaEiji Oguma
Oct 8, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Quynh Anh TranXuyen Van Nguyen
Sep 6, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Shuai LiShao-Tao Tang
Oct 9, 2020·Asian Journal of Endoscopic Surgery·Tetsuya IshimaruMaho Inoue
Jan 20, 2021·Scientific Reports·Sen Li, Jun Wang

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