Multicenter retrospective comparative study of laparoscopically assisted and conventional anorectoplasty for male infants with rectoprostatic urethral fistula

Yamataka, Atsuyuki; Morikawa, Yasuhide; Yagi, Makoto; Kimura, Osamu; Kuroda, Takeshi; Kanamori, Yutaka; Tanaka, Hideaki; Takahashi, Masato; Ueno, Shinji; Iwanaka, Tadashi; Ishimaru, Tetsuya; Iwai, Jun; Zaizen, Yoshio; Koga, Hiroyuki; Shimono, Ryuichi; Kubota, Masayuki; Murase, Naruhiko; Ikeda, Taro; Kubota, Akio; Nara, Kiyomitsu; Satoh, Kaname; Amano, Hodaka; Takazawa, Shinya; Tanaka, Yujiro; Uchida, Hiroo; Kawashima, Hiroshi; Jimbo, Takahiro; Fukumoto, Kouji

doi:10.1016/j.jpedsurg.2013.08.010

Cited by 26 publications

(5 citation statements)

References 24 publications

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“…To assess the impact of these modifications, we analyzed the incidence of these complications in a recent series published in the last 5 years [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38]. The incidence of rectal prolapse and PUD was 12.7% (n = 79) and 1.9% (n = 12), respectively.…”

Section: Discussionmentioning

confidence: 99%

“…The outcome assessment was done by the operating surgeon in most of the studies with the potential risk of bias and even skewing of the results in favor of LAARP by the proponents of laparoscopic approach. The questionnaire-based prospective studies were performed by a few Japanese groups [12,23,27,34]. The problem with using this score and various other scores (CEQ, Japanese study group, Fecal Continenece evaluation, etc.)…”

Section: Discussionmentioning

confidence: 99%

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Postoperative “complications" following laparoscopic-assisted anorectoplasty: A systematic review

Pathak

Saxena

2020

Pediatr Surg Int

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Aim This study reviewed the literature on the postoperative complications following laparoscopic-assisted anorectoplasty (LAARP). Methods A Medline and Embase search was performed for the terms "anorectal malformation" (ARM) "laparoscopic" and "complication". Articles without English full text, review articles, systematic reviews, case reports, case series < 5 cases and duplicate articles were excluded. Two reviewers independently performed the eligibility assessment and data extraction. Data were collected for type of malformation, surgical technique, postoperative complications and functional outcomes Results The search retrieved 108 articles, of which 38 met the inclusion criteria and offered 1058 patients for analysis. Rectoprostatic and rectobladder neck fistula were the most common types of ARM in males, whereas it was the common cloaca in females. Analysis of complications demonstrated rectal prolapse (n = 149; 14.08%) being the most prominent, followed by urethral diverticulum (n = 32; 3.02%), anal stenosis (n = 37; 3.49%), recurrent fistula (n = 7; 0.66%) and rectal stricture (n = 4; 0.37%). Krickenbeck classification was used for functional assessment in 638 patients, with fecal soiling grade 2 or > 2 in 79. Data on functional outcome specific to the type of malformation was available for 246 patients: fecal soiling grade 2 or > 2 in 15/94 (15.95%) with rectoprostatic fistula, 26/73 (35.61%) with rectobladder neck fistula, 6/47 (12.76%) with common cloaca, and 1/22 (4.54%) with no fistula. Conclusion Rectal prolapse, posterior urethral diverticulum and anal stenosis are the most common complications after LAARP. Inconsistent and non-uniform functional assessment and non-availability of information about the sacrum and spine make it difficult to analyze the functional outcome following LAARP.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Postoperative “complications" following laparoscopic-assisted anorectoplasty: A systematic review

Pathak

Saxena

2020

Pediatr Surg Int

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“…Son yıllarda 2 yöntemi karşılaş-tıran çalışmalarda, LEARP nin rektoüriner fistülün yerinin çok iyi bir şekilde görüntülenebilmesi ve rektumun sfinkterik kas kompleksi kesilmeden tam ortasından geçirilebilmesi açısından PSARP'a göre üstün olduğunu belirtmektedirler (10)(11)(12)(13) . Laparoskopide pubokoksigeal kaslar net görülebilmektedir çünkü laparoskopi sırasında oluşturulan "pneumoperitoneum" karın ön duvarını kaldırdığı gibi pelvis tabanını da iterek aralarında pubokoksigeal kasında bulunduğu pelvis tabanını oluşturan kasların genişlemesini sağlamakta ve sfinkterik kas kompleksinin detaylı görülmesine olanak vermektedir.…”

Section: Georgeson Ve Arkunclassified

“…LE-ARP yöntemininde hastanede yatış süresinin ve yara yeri enfeksiyonu gelişme oranının PSARP yöntemi-ne göre daha az olduğu bildirilmektedir (13) . LEARP ile tedavi edilen yüksek tip ARM lu hastalarda rektal mukozal prolapsus görülme oranın daha yüksek olmasına rağmen, gaita kontinans skoru daha yüksek bulunmuştur (11)(12)(13) . LEARP yönteminde üretraya zarar vermemek amacı ile rektoüretral fistülün uzun bıra-kılarak bağlanması posterior uretral divertiküllerin gelişmesine neden olmakla beraber, bu divertikül-lerin büyük çoğunluğu asemptomatiktir ve ameliyat sonrası kontrolder manyetik rezonans görüntüleme sırasında ortaya çıkmaktadır (11)(12)(13) .…”

Section: Georgeson Ve Arkunclassified

“…LEARP ile tedavi edilen yüksek tip ARM lu hastalarda rektal mukozal prolapsus görülme oranın daha yüksek olmasına rağmen, gaita kontinans skoru daha yüksek bulunmuştur (11)(12)(13) . LEARP yönteminde üretraya zarar vermemek amacı ile rektoüretral fistülün uzun bıra-kılarak bağlanması posterior uretral divertiküllerin gelişmesine neden olmakla beraber, bu divertikül-lerin büyük çoğunluğu asemptomatiktir ve ameliyat sonrası kontrolder manyetik rezonans görüntüleme sırasında ortaya çıkmaktadır (11)(12)(13) . LEARP sırasında sistoskopi eşliğinde fistule bir kateter yerleştirilerek uzunluğunun ölçülmesi ile daha güvenli bir disseksiyon sağlandığını bildiren yayınlar vardır (10,13) .…”

Section: Georgeson Ve Arkunclassified

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Laparoscopic approach to high anorectal malformations

Hakgüder¹

2016

Tccd

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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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Multicenter retrospective comparative study of laparoscopically assisted and conventional anorectoplasty for male infants with rectoprostatic urethral fistula

Cited by 26 publications

References 24 publications

Postoperative “complications" following laparoscopic-assisted anorectoplasty: A systematic review

Postoperative “complications" following laparoscopic-assisted anorectoplasty: A systematic review

Laparoscopic approach to high anorectal malformations

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

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