Long-term outcomes and complications after laparoscopic-assisted anorectoplasty vs. posterior sagittal anorectoplasty for high- and intermediate-type anorectal malformation

Tainaka, Takahisa; Uchida, Hiroo; Tanaka, Yujiro; Hinoki, Akinari; Shirota, Chiyoe; Sumida, Wataru; Yokota, Kazuki; Makita, Satoshi; Oshima, Koichiro; Chiba, Kosuke; Ishimaru, Tetsuya; Kawashima, Hiroshi

doi:10.1007/s00383-018-4323-4

Cited by 35 publications

(40 citation statements)

References 8 publications

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“…Seven articles compared PSARP with LAARP, while other articles discussed specific laparoscopic approaches or reported series. [3][4][5][6][7][8][9][10] One article discussed laparoscopic colostomy creation in the setting of LAARP. 11 Three articles reported the use of laparoscopy for the mobilization of the rectal component in cloaca repairs.…”

Section: Resultsmentioning

confidence: 99%

“…[4][5][6][7][8][9]22 The outcomes variably evaluated by the authors were: perioperative clinical results, rectal manometry, magnetic resonance imaging (MRI), length of stay, and complications. Ten articles described the radiographic features of the sacrum/spinal cord [7][8][9][10][11][23][24][25][26][27][28][29] and five reported a sacral ratio calculation. [7][8][9][10]27,28,30 Clinical results were reported in nine using various scoring systems.…”

Section: Resultsmentioning

confidence: 99%

“…Ten articles described the radiographic features of the sacrum/spinal cord [7][8][9][10][11][23][24][25][26][27][28][29] and five reported a sacral ratio calculation. [7][8][9][10]27,28,30 Clinical results were reported in nine using various scoring systems. 5,[8][9][10][12][13][14][15]22,25,28,[31][32][33] One article compared the manometric results between PSARP and LAARP.…”

Section: Resultsmentioning

confidence: 99%

“…[7][8][9][10]27,28,30 Clinical results were reported in nine using various scoring systems. 5,[8][9][10][12][13][14][15]22,25,28,[31][32][33] One article compared the manometric results between PSARP and LAARP. 21 Seven articles followed patients postoperatively with MRI studies 5,9,10,24,[32][33][34][35] and noted the accuracy of the pull-through within the sphincteric mechanism.…”

Section: Resultsmentioning

confidence: 99%

“…30 Intraoperative use of cystoscopy while performing fistula ligation to assure a flush ligation with the urethra has been described with increasing frequency. 8 Finally, introduction of a 5-mm stapler has been trialed for dividing fistulas. 29 While the authors report good results and challenge previous reports against staple utilization in the urinary tract, one concern is that the staples may partially extrude into the urinary tract and become potential nidus for stone formation and infection.…”

Section: New Developmentsmentioning

confidence: 99%

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The Role of Laparoscopy in Anorectal Malformations

et al. 2020

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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/imaging adjuncts will yield the best technically safe minimally invasive approach to ARM. Continued efforts for standardized reporting and long-term follow-up are required.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: New Developmentsmentioning

confidence: 99%

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The Role of Laparoscopy in Anorectal Malformations

et al. 2020

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Research progress on risk factors of postoperative functional defecation disorder in anorectal malformation

Xiang,

Feng

et al. 2023

Pediatric Discovery

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Anorectal malformation (ARM) is a common congenital gastrointestinal malformation in neonates, which has complex pathological changes and unclear etiology. The only treatment modality currently available for ARMs is through surgical treatment to correct the deformity of the anal morphology and restore normal defecation function. In addition, the mortality rates of children with ARMs have significantly decreased as a result of recent advances in medical technology. It is important to note that despite the treatment of perianal anatomical deformities, approximately one‐third of ARM patients continue to experience functional defecation disorder (FDD), which includes fecal incontinence and constipation and negatively impacts the patient's quality of life. There are still numerous questions regarding the exact cause of FDD in ARM patients following surgery. It is generally accepted that the occurrence of FDD may be related to clinical staging, structural changes in the perianal rectal muscles, anomalies of the enteric nervous system, surgical injury, etc. However, some of these factors are still controversial and require additional study to be confirmed. In this paper, we review the risk factors for FDD following surgery in ARMs, which will help us to subsequently develop appropriate interventions to enhance the anal function and improve quality of life of children with ARMs.

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