The Role of Laparoscopy in Anorectal Malformations

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie
Rebecca Maria RenteaMarc A Levitt

Abstract

The use of laparoscopy in the minimally invasive management of anorectal malformations (ARMs) continues to evolve, although the principles guiding the anatomic surgical repair and clinical follow-up remain unchanged. In this review, we detail the advantages, indications, contraindications, complications, and issues unique to the minimally invasive approach to ARM. A comprehensive search of the PubMed and Embase databases was performed (2014-2018). Full-text screening, data abstraction, and quality appraisal were performed of articles describing the use of laparoscopy in ARM and cloaca. While new developments and approaches to ARM utilizing minimally invasive techniques and timing for surgical approach have been detailed, a unique complication profile involving greater risk of rectal prolapse and retention of a remnant of the original fistula are still consistently reported. Analysis of perioperative complications and long-term functional outcomes, including rates of fecal and urinary continence, are lacking. It is clear that patient selection for the choice of surgical approach based on precise preoperative delineation of the anatomy is the key. Adherence to the principles of ARM repair as well as application of operative/imagi...Continue Reading

Citations

Oct 9, 2020·Asian Journal of Endoscopic Surgery·Tetsuya IshimaruMaho Inoue
Nov 28, 2020·European Journal of Pediatric Surgery Reports·Anisha ApteMarc A Levitt
Sep 23, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Martin LacherMarc A Levitt

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