A new opportunity for the treatment of high anorectal malformations: Laparoscopy Yüksek tip anorektal malformasyonlarin tedavisinde yeni bir olanak: Laparoskopi

HAKGÜDER F. G., ATEŞ O., Çag̈lar M., OLGUNER M., AKGÜR M. F.

Cocuk Cerrahisi Dergisi, cilt.19, sa.1, ss.17-23, 2005 (Scopus, TRDizin) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 19 Sayı: 1
  • Basım Tarihi: 2005
  • Dergi Adı: Cocuk Cerrahisi Dergisi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.17-23
  • Anahtar Kelimeler: Anal atresia, Imperforate anus, Laparoscopically assisted anorectal pull-through, Laparoscopy
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Aim: Posterior sagittal anorectoplasty (PSARP) popularized by De Vries and Pena, has become the standard surgical treatment of high anorectal malformations (ARM) in the last 20 years. Georgeson et al had reported a new technique for the treatment of high ARM. With this new technique, anorectal pull-through is performed without a posterior sagittal incision and laparoscopic assistance. Herein we report our experience with this new technique, laparoscopy assisted anorectal pull-through (LAARP). Methods: The hospital and the digital videotape records of 4 high ARM male patients that underwent LAARP between January 2002-January 2003 were evaluated retrospectively. Results: LAARP was performed in the presence of colostomy in four patients. The first two patients are passing stools two or three times a day. Bowel management program was started on the third patient who was 4 years old. The last patient still has colostomy. Conclusion: LAARP procedure having precisely defined landmarks of intersphincteric pull-through site enables the rectal pouch to be placed in its anatomically correct place through the sphincteric muscle complex, avoiding the challenging "keeping the dissection in the midline" of the PSARP procedure.