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

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.