This is the first report of three-stage laparoscopic-assisted anorectoplasty (LAARP) with temporary umbilical loop colostomy aiming for minimally invasive surgery in a boy with high anorectal malformation. The procedure was performed safely and resulted in small inconspicuous wounds. LAARP with temporary umbilical loop colostomy was a sufficiently useful therapeutic approach to high anorectal malformation.

No abstract

Either the Bentall-De Bono operation or the valve-sparing aortic root replacement is commonly chosen for aortic root management. However, if the preoperative condition is poor, a simpler technique is preferred; therefore, we performed hemi-root replacement with diagonal resection of the aortic root preserving the left coronary sinus of Valsalva. Because reimplantation of the left coronary artery is not required, this technique may shorten operative time and reduce coronary malperfusion, a condition characterized by reduced transit flow time and reduced cardiac contractility.