Surgical management of recto-prostatic and recto-bulbar anorectal malformations

Abstract

Technical outcomes appear to be similar based on imaging studies, but FCES-assessed functional outcomes appear to favor LAARP for treatment of both RPF and RBF.

Laparoscopically Assisted Anorectal Pull-Through versus Posterior Sagittal Anorectoplasty for High and Intermediate Anorectal Malformations: A Systematic Review and Meta-Analysis

“…Two studies [21, 28] reported longer operative time of LAARP compared with that of the PSARP group (P = 0.13, P<0.001, respectively); while two studies [24, 27] were in the contrary (P>0.05, P<0.01, respectively); and one study [22] reported the two groups had the same operative time (P = 0.92) (Table 2). Therefore, the result of operative time was inconclusive.…”

“…Therefore, the result of operative time was inconclusive. As only two [24, 27] from the five studies [21, 22, 24, 27, 28] reporting operative time were suitable for the meta-analysis, and the heterogeneity was substantial (Q statistic = 11.60, P = 0.0007; I 2 = 91%), we only made a qualitative systematic review for it.…”

“…Six studies reported total postoperative complications [19–21, 24, 27, 28]. The incidence of total postoperative complications was 23.3% (28 of 120 cases) in the LAARP group, and 33.0% (34 of 103 cases) in PSARP treated individuals.…”

“…Occurrence of rectal prolapse was reported in eight studies [19–21, 23, 24, 26–28]. The incidence of postoperative rectal prolapse in LAARP treated patients was 17.7% (29 of 164 cases), and 12.8% (18 of 141) in the PSARP group, indicating no statistically significant difference between the two groups (RR 1.23, 95%CI 0.74–2.02; P = 0.42).…”

“…Occurrence of anal stenosis was assessed in five studies [23, 24, 26–28]. The incidence of postoperative anal stenosis was 9.6% (13 of 135 cases) in the LAARP group, for 6.7% (8 of 119) recorded for PSARP treated patients, indicating a non-statistically significant difference (RR 1.32, 95% CI 0.61–2.86; P = 0.48).…”