Single-incision laparoscopic-assisted anorectoplasty for treating children with intermediate-type anorectal...

Area of Science:

• Pediatric Surgery
• Surgical Innovation
• Anorectal Malformations Treatment

Background:

• Anorectal malformations (ARMs) are congenital conditions requiring surgical correction.
• Rectobulbar fistula is a specific subtype of ARM.
• Comparing surgical techniques is crucial for optimizing patient outcomes.

Purpose of the Study:

• To compare the efficacy and outcomes of Single-Incision Laparoscopic-Assisted Anorectoplasty (SILAARP) versus Posterior Sagittal Anorectoplasty (PSARP).
• To evaluate treatment for intermediate-type ARMs with rectobulbar fistula in pediatric patients.

Main Methods:

• Retrospective comparison of 48 children with intermediate-type ARMs and rectobulbar fistula.
• Patients underwent either SILAARP (n=34) or PSARP (n=14).
• Data analyzed included operative time, complications, hospital stay, and long-term functional outcomes.

Main Results:

• No significant differences in operative time or complication rates between SILAARP and PSARP.
• SILAARP group had a significantly shorter postoperative hospital stay (6.15 vs 9.64 days).
• Long-term functional outcomes (bowel movements, soiling, constipation) were similar; however, SILAARP showed higher anal canal resting pressure.

Conclusions:

• Both SILAARP and PSARP are feasible and effective surgical options for intermediate-type ARMs with rectobulbar fistula.
• SILAARP demonstrates advantages in reducing postoperative hospital stay duration.
• SILAARP may lead to improved anal canal resting pressure, potentially benefiting long-term functional outcomes.