| ORIGINAL ARTICLE
|Year : 2017 | Volume
| Issue : 4 | Page : 265-268
Institutional experience with laparoscopic-assisted anorectal pull-through in a series of 17 cases: A retrospective analysis
Madhu Ramasundaram, Jegadeesh Sundaram, Prakash Agarwal, Raj Kishore Bagdi, Selvapriya Bharathi, Apurva Arora
Department of Paediatric Surgery, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India
Aims: To retrospectively analyse the results of laparoscopically-assisted anorectal pull-through (LAARP) for high anorectal malformation (ARM) in male children in our institution.
Materials and Methods: We analysed the hospital records of patients who had undergone LAARP from October 2010 to December 2015 in terms of age, operative time, length of hospital stay and post-operative complications.
Results: Of 17 cases, 13 (76%) were in 6–12 months age group, whereas rest of them were in 12–18 months age group. The recto-prostatic urethral fistula was encountered in 82% (n = 14) of patients and rectovesical type in two cases (12%). The mean operative time was 132 min with mean length of hospital stay being 4 days. Rectal mucosal prolapse was the most common complication noted.
Conclusions: LAARP is a feasible approach to male children with high ARMs with less post-operative morbidity.
Sri Ramachandra University, Porur, Chennai - 600 116, Tamil Nadu
Source of Support: None, Conflict of Interest: None
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