A new approach for persistent cloaca: Laparoscopically assisted anorectoplasty and modified repair of urogenital sinus

Wang, Chen; Li, Long; Wei, Cheng; Liu, Shuli; Diao, Mei; Li, Xu; Zhang, Zheng; Zheng, Cheng

doi:10.1016/j.jpedsurg.2015.04.016

Cited by 14 publications

(7 citation statements)

References 27 publications

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“…11 Three articles reported the use of laparoscopy for the mobilization of the rectal component in cloaca repairs. [12][13][14][15] The common channel was between 2 and 4 cm in length, but details of the rectal location were not provided.…”

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%

“…Laparoscopy has been to be utilized in the separation of the rectum from the urogenital sinus in cloacal reconstructions. [12][13][14] The common channel length in these reports ranged from 1.5 to 4 cm (mean 2 cm). Exploration of differences between three port laparoscopic versus single port laparoscopic rectal mobilization was found to be comparable.…”

Section: Use Of Laparoscopy For Cloacamentioning

confidence: 95%

“…Exploration of differences between three port laparoscopic versus single port laparoscopic rectal mobilization was found to be comparable. [12][13][14] One report described approaching all the rectums above the PC line 13 with laparoscopy. It is important that the proper guidelines to complete a cloacal reconstruction are utilized for the reconstruction and we believe the entire malformation including the urogenital complex should be ideally repaired all at the same time, and thus, rectum-only approach should be avoided as the rectum will need to be remobilized in the future when the urogenital complex is ultimately tackled.…”

Section: Use Of Laparoscopy For Cloacamentioning

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: Use Of Laparoscopy For Cloacamentioning

confidence: 95%

Section: Use Of Laparoscopy For Cloacamentioning

confidence: 99%

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The Role of Laparoscopy in Anorectal Malformations

et al. 2020

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“…Rektovajinal, rektoüretral fistüllü hastalarda da iyi sonuçlar elde edildiği belirtilmiştir (16,19) . Kloakalı bir grup hastada da endikasyon konulabilir (14,20,21) . Vajen yokluğu ile seyreden rektovestibüler fistüllü bağırsak kontrolü zayıf olgularda da tercih edilebilir (14) .…”

Section: Anorektal Malformasyonlarda Laparoskopik Girişimunclassified