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Article: Management of anorectal malformations in the era of laparoscopy

TitleManagement of anorectal malformations in the era of laparoscopy
Authors
KeywordsLaparoscopy
Anorectal malformation
Anorectoplasty
Issue Date2014
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH
Citation
Surgical Practice, 2014, v. 18 n. 2, p. 94-97 How to Cite?
AbstractAim: Despite the advances of laparoscopic surgery in paediatric surgery, its role in anorectoplasty remains controversial. This review article aims at discussing current evidences regarding this new operative approach. Methods: Literature review for laparoscopic anorectoplasty was performed in combination with experience from our centre. Details on operative techniques, surgical complications and postoperative outcomes were highlighted. Results: Laparoscopic anorectoplasty (LAR) can be performed safely and effectively in early infantile period with modern small-sized laparoscopic instruments. Postoperative complications have been reported to range from 0.8 to 7.2 per cent. Apart from general surgical complications, fistula and cyst formations at the posterior urethra are two specific complications. Functional outcomes are not inferior to traditional posterior sagittal anorectoplasty (PSARP) with less surgical trauma and better cosmetic result especially in high-type malformations. Similarly, outcomes of LAR are comparable with PSARP under manometric and radiological assessments. Conclusions: Based on current evidences, LAR appears to be at least as good as PSARP. In high-type malformations, we recommend that LAR be considered as the operation of choice. However, good laparoscopic skills and proper laparoscopic instruments are essential when performing this operation. © 2014 College of Surgeons of Hong Kong.
Persistent Identifierhttp://hdl.handle.net/10722/198124
ISSN
2013 Impact Factor: 0.172
2015 SCImago Journal Rankings: 0.121

 

DC FieldValueLanguage
dc.contributor.authorChung, HYen_US
dc.contributor.authorWong, KKYen_US
dc.contributor.authorTam, PKHen_US
dc.date.accessioned2014-06-25T02:47:34Z-
dc.date.available2014-06-25T02:47:34Z-
dc.date.issued2014en_US
dc.identifier.citationSurgical Practice, 2014, v. 18 n. 2, p. 94-97en_US
dc.identifier.issn1744-1625-
dc.identifier.urihttp://hdl.handle.net/10722/198124-
dc.description.abstractAim: Despite the advances of laparoscopic surgery in paediatric surgery, its role in anorectoplasty remains controversial. This review article aims at discussing current evidences regarding this new operative approach. Methods: Literature review for laparoscopic anorectoplasty was performed in combination with experience from our centre. Details on operative techniques, surgical complications and postoperative outcomes were highlighted. Results: Laparoscopic anorectoplasty (LAR) can be performed safely and effectively in early infantile period with modern small-sized laparoscopic instruments. Postoperative complications have been reported to range from 0.8 to 7.2 per cent. Apart from general surgical complications, fistula and cyst formations at the posterior urethra are two specific complications. Functional outcomes are not inferior to traditional posterior sagittal anorectoplasty (PSARP) with less surgical trauma and better cosmetic result especially in high-type malformations. Similarly, outcomes of LAR are comparable with PSARP under manometric and radiological assessments. Conclusions: Based on current evidences, LAR appears to be at least as good as PSARP. In high-type malformations, we recommend that LAR be considered as the operation of choice. However, good laparoscopic skills and proper laparoscopic instruments are essential when performing this operation. © 2014 College of Surgeons of Hong Kong.-
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH-
dc.relation.ispartofSurgical Practiceen_US
dc.subjectLaparoscopy-
dc.subjectAnorectal malformation-
dc.subjectAnorectoplasty-
dc.titleManagement of anorectal malformations in the era of laparoscopyen_US
dc.typeArticleen_US
dc.identifier.emailChung, HY: chungphy@hku.hken_US
dc.identifier.emailWong, KKY: kkywong@hku.hken_US
dc.identifier.emailTam, PKH: paultam@hku.hk-
dc.identifier.authorityChung, HY=rp02002en_US
dc.identifier.authorityWong, KKY=rp01392en_US
dc.identifier.doi10.1111/1744-1633.12059-
dc.identifier.scopuseid_2-s2.0-84899584871-
dc.identifier.hkuros229589en_US
dc.identifier.volume18en_US
dc.identifier.issue2en_US
dc.identifier.spage94en_US
dc.identifier.epage97en_US
dc.publisher.placeAustralia-

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