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 ORIGINAL ARTICLE
Year : 2017  |  Volume : 13  |  Issue : 4  |  Page : 265-268

Institutional experience with laparoscopic-assisted anorectal pull-through in a series of 17 cases: A retrospective analysis


Department of Paediatric Surgery, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India

Correspondence Address:
Prakash Agarwal
Sri Ramachandra University, Porur, Chennai - 600 116, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_254_16

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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.






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