Comparison of clinical outcomes and anorectal manometry in patients with congenital anorectal malformations treated with posterior sagittal anorectoplasty and laparoscopically assisted anorectal pull through

Laparoscopic versus open abdominoperineal rectoplasty for infants with high-type anorectal malformation

“…Some authors demonstrated that the functional outcome after laparoscopic ARP was superior to that after PSARP because laparoscopic ARP could avoid injuring the muscle complex and nerves around the puborectal muscles [4][5][6]. However, this muscle and nervepreserving technique not only shows the merit of laparoscopic ARP but also those of open rectoplasty (open ARP).…”

Laparoscopy and its use in the repair of anorectal malformations

“…The length of stay was mentioned in only 4 articles, and it was reported as 48 hours [5], varied from 3 to 12 days [22], an average of 6 days [37], and a mean of 14.3 days [41].…”

“…Of these 85 patients, 35 were evaluated using a subjective score that included parameters such as frequency of defecation, staining, perianal erosion, anal shape, and medication used [28,47]. Twenty-four patients were evaluated by another subjective method (Kelly score), with the authors noting that their patients had a score of 3.8 [16,41]. In 22 cases, the authors used what we considered a clear description of the clinical results: 15 patients had voluntary bowel movements, with 2 of them having minimal, occasional soiling [25,33,46].…”

“…Five references [12,15,16,28,41] are frequently quoted, suggesting that laparoscopy produces better functional results. Two of those reports contain manometric studies comparing patients operated on laparoscopically with those who underwent a posterior sagittal anorectoplasty (PSARP).…”

“…2 shows the distal end of the bowel already separated from the bladder neck and the entire delicate blood supply of the rectosigmoid. The goal in this situation is to ⁎ "satisfactory bowel activity" (7 cases) [19], "acceptable defecation status" (10 cases) [15], "acceptable frequency 1-4 bowel openings per day" (7 cases) [12], "less than one bowel opening per day (1 case), and more than 5 bowel openings per day (1 case)" [12], evaluation by an arbitrary score (35 cases) [28,47], Kelly score of 3.8 (13 cases) [16], and Kelly score of 3.8 and anorectal manometry in patients younger than 3 years [41].…”