SciELO - Scientific Electronic Library Online

 
vol.49 número1Neonatal laparoscopyPaediatric thoracoscopy: State of the art índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Artigo

Indicadores

Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Em processo de indexaçãoSimilares em Google

Compartilhar


South African Journal of Surgery

versão On-line ISSN 2078-5151

S. Afr. j. surg. vol.49 no.1 Cape Town Fev. 2011

 

NEONATAL SURGERY

 

Oesophageal atresia without tracheo-oesophageal fistula and an anorectal malformation: Advantages of a primary laparoscopically assisted anorectal pull-through

 

 

M. ArnoldI; D. SidlerII; S. W. MooreIII

IM.B. Ch.B., D.C.H.; Division of Paediatric Surgery, Stellenbosch University and Tygerberg Children's Hospital, Tygerberg, W Cape
IIM.D. (berne), M.Phil. (applied Ethics), F.C.S. (S.A.)Division of Paediatric Surgery, Stellenbosch University and Tygerberg Children's Hospital, Tygerberg, W Cape
IIIM.B. Ch.B., F.R.C.S. (ed.), M.D.Division of Paediatric Surgery, Stellenbosch University and Tygerberg Children's Hospital, Tygerberg, W Cape

 

 


ABSTRACT

We report on a primary laparoscopically assisted anorectal pull-through (LAARP) performed in a neonate with pure oesophageal atresia and imperforate anus with recto-bulbo-urethral fistula, representing a unique case for the LAARP approach owing to the undistended nature of the bowel and sterile meconium. Further evaluation of the applicability of LAARP in the management of infants with anorectal malformations is needed, but in this case it held major advantages for the patient. A laparoscopically assisted gastrostomy was facilitated during the same procedure, while avoidance of a colostomy and its associated complications also facilitated preservation of the left colon for subsequent use in oesophageal replacement. Long-term outcome remains to be assessed.


 

“Full text available only in PDF format”

 

REFERENCES

1. Liu G, Yuan J, Geng J, Wang C, Li T. The treatment of high and intermediate anorectal malformations: one stage or three procedures? J Pediatr Surg 2004;39(10):1466-1471.         [ Links ]

2. Moore TC. Advantages of performing the sagittal anoplasty operation for imperforate anus at birth. J Pediatr Surg 1990;25(2):276-277.         [ Links ]

3. Mirshemirani A, Kouranloo J, Rouzrokh M, Sadeghiyan MN, Khaleghnejad A. Primary posterior sagittal anorectoplasty without colostomy in neonates with high imperforate anus. Acta Med Iran 2007;45(2):121-125.         [ Links ]

4. Khalil BA, Morabito A, Bianchi A. Transanoproctoplasty: a 21-year review. J Pediatr Surg 2010;25(9):1915-1919.         [ Links ]

5. Albanese CT, Jennings RW, Lopoo JB, Bratton BJ, Harrison MR. One-stage correction of high imperforate anus in the male neonate. J Pediatr Surg 1999;34(5):834-836.         [ Links ]

6. Vick LR, Gosche JR, Boulanger SC, Islam S. Primary laparoscopic repair of high imperforate anus in neonatal males. J Pediatr Surg 2007;42(11):1877-1881.         [ Links ]

7. Georgeson KE, Inge TH, Albanese CT. Laparoscopically assisted anorectal pull-through for high imperforate anus - a new technique. J Pediatr Surg 2000;35(6):927-930, discussion 30-1.         [ Links ]

8. Al-Hozaim O, Al-Maary J, AlQahtani A, Zamakhshary M. Laparoscopic-assisted anorectal pull-through for anorectal malformations: a systematic review and the need for standardization of outcome reporting. J Pediatr Surg 2010;45(7):1500-1504.         [ Links ]

9. Sydorak RM, Albanese CT. Laparoscopic repair of high imperforate anus. Semin Pediatr Surg 2002;11(4):217-225.         [ Links ]

10. Sidler D, Millar AJ, Rode H, Brown RA, Franck M, Cywes S. Neonatal Soave endorectal pull-through for Hirschsprung's disease. S Afr J Surg 1999;37(2):47-49, discussion 49-50.         [ Links ]

11. Ameh EA, Mshelbwala PM, Sabiu L, Chirdan LB. Colostomy in children-an evaluation of acceptance among mothers and caregivers in a developing country. S Afr J Surg 2006;44(4):138-139.         [ Links ]

12. Pena A, Migotto-Krieger M, Levitt MA. Colostomy in anorectal malformations: a procedure with serious but preventable complications. J Pediatr Surg 2006;41(4):748-756, discussion 756.         [ Links ]

13. Bischoff A, Levitt MA, Lawal TA, Pena A. Colostomy closure: how to avoid complications. Pediatr Surg Int 2010; Aug 17.         [ Links ]

14. Chirdan LB, Uba FA, Ameh EA, Mshelbwala PM. Colostomy for high anorectal malformation: an evaluation of morbidity and mortality in a developing country. Pediatr Surg Int 2008;24(4):407-410.         [ Links ]

15. Ekenze SO, Agugua-Obianyo NE, Amah CC. Colostomy for large bowel anomalies in children: a case controlled study. Int J Surg 2007;5(4):273-277.         [ Links ]

16. Sheikh MA, Akhtar J, Ahmed S. Complications / problems of colostomy in infants and children. J Coll Physicians Surg Pak 2006;16(8):509-513.         [ Links ]

17. Cigdem MK, Onen A, Duran H, Ozturk H, Otcu S. The mechanical complications of colostomy in infants and children: analysis of 473 cases of a single center. Pediatr Surg Int 2006;22(8):671-676.         [ Links ]

18. Moore SW, Alexander A, Sidler D, et al. The spectrum of anorectal malformations in Africa. Pediatr Surg Int 2008;24(6):677-683.         [ Links ]

19. Chittmittrapap S, Spitz L, Kiely EM, Brereton RJ. Oesophageal atresia and associated anomalies. Arch Dis Child 1989;64(3):364-368.         [ Links ]

20. Cho S, Moore SP, Fangman T. One hundred three consecutive patients with anorectal malformations and their associated anomalies. Arch Pediatr Adolesc Med 2001;155(5):587-591.         [ Links ]

21. Engum SA, Grosfeld JL, West KW, Rescorla FJ, Scherer LR 3rd. Analysis of morbidity and mortality in 227 cases of esophageal atresia and/or tracheoesophageal fistula over two decades. Arch Surg 1995;130(5):502-508; discussion 508-509.         [ Links ]

22. Spitz L. Oesophageal atresia. Orphanet J Rare Dis 2007;2:24.         [ Links ]

23. Piekarski DH, Stephens FD. The association and embryogenesis of tracheo-oesophageal and anorectal anomalies. Prog Pediatr Surg 1976;9:63-76.         [ Links ]

24. Levitt MA, Pena A. Anorectal malformations. Orphanet J Rare Dis 2007;2:33.         [ Links ]

25. Menon P, Rao KL. Primary anorectoplasty in females with common anorectal malformations without colostomy. J Pediatr Surg 2007;42(6):1103-1106.         [ Links ]

26. Georgeson K. Laparoscopic-assisted anorectal pull-through. Semin Pediatr Surg 2007;16(4):266-299.         [ Links ]

27. Lopez M, Kalfa N, Allal H, et al. Anorectal malformation (ARM) with bladder fistula: Advantages of a laparoscopic approach. Eur J Pediatr Surg 2009 Jun 10.         [ Links ]

28. Hay SA. Transperineal rectovesical fistula ligation in laparoscopic-assisted abdominoperineal pull-through for high anorectal malformations. J Laparoendosc Adv Surg Tech A 2009;19 Suppl 1:S77-79.         [ Links ]

29. Lima M, Antonellini C, Ruggeri G, Libri M, Gargano T, Mondardini MC. Laparoscopic surgical treatment of anorectal malformations. Pediatr Med Chir 2006;28(4-6):79-82.         [ Links ]

30. Kubota A, Kawahara H, Okuyama H, et al. Laparoscopically assisted anorectoplasty using perineal ultrasonographic guide: a preliminary report. J Pediatr Surg 2005^0(10):1535-1538.         [ Links ]

31. Raschbaum GR, Bleacher JC, Grattan-Smith JD, Jones RA. Magnetic resonance imaging-guided laparoscopic-assisted anorectoplasty for imperforate anus. J Pediatr Surg 2010;45(1):220-223.         [ Links ]

32. Koga H, Kato Y, Shimotakahara A, et al. Intraoperative measurement of rectourethral fistula: prevention of incomplete excision in male patients with high-/intermediate-type imperforate anus. J Pediatr Surg 2010;45(2):397-400.         [ Links ]

33. Lopez PJ, Guelfand M, Angel L, et al. Urethral diverticulum after laparoscopically-assisted anorectal pull-through (LAARP) for anorectal malformation: is resection of the diverticulum always necessary? Arch Esp Urol 2010;63(4):297-301.         [ Links ]

34. Ichijo C, Kaneyama K, Hayashi Y, et al. Midterm postoperative clinicoradiologic analysis of surgery for high/intermediate-type imperforate anus: prospective comparative study between laparoscopy-assisted and posterior sagittal anorectoplasty. J Pediatr Surg 2008;43(1):158-162; discussion 162-163.         [ Links ]

35. Kudou S, Iwanaka T, Kawashima H, et al. Midterm follow-up study of high-type imperforate anus after laparoscopically assisted anorectoplasty. J Pediatr Surg 2005;40(12):1923-1926.         [ Links ]

36. El-Debeiky MS, Safan HA, Shafei IA, Kader HA, Hay SA. Long-term functional evaluation of fecal continence after laparoscopic-assisted pull-through for high anorectal malformations. J Laparoendosc Adv Surg Tech A 2009;19 Suppl 1:S51-54.         [ Links ]

37. Lin CL, Wong KK, Lan LC, Chen CC, Tam PK. Earlier appearance and higher incidence of the rectoanal relaxation reflex in patients with imperforate anus repaired with laparoscopically assisted anorectoplasty. Surg Endosc 2003;17(10):1646-1649.         [ Links ]

38. Yang J, Zhang W, Feng J, et al. Comparison of clinical outcomes and anorectal manometry in patients with congenital anorectal malformations treated with posterior sagittal anorectoplasty and laparoscopically assisted anorectal pull through. J Pediatr Surg 2009;44(12):2380-2383.         [ Links ]

39. Iwanaka T, Arai M, Kawashima H, et al. Findings of pelvic musculature and efficacy of laparoscopic muscle stimulator in laparoscopy-assisted anorectal pull-through for high imperforate anus. Surg Endosc 2003;17(2):278-281.         [ Links ]

40. Yamataka A, Segawa O, Yoshida R, Kobayashi H, Kameoka S, Miyano T. Laparoscopic muscle electrostimulation during laparoscopy-assisted anorectal pull-through for high imperforate anus. J Pediatr Surg 2001;36(11):1659-1661.         [ Links ]

41. Rollins MD, Downey EC, Meyers RL, Scaife ER. Division of the fistula in laparoscopic-assisted repair of anorectal malformations - are clips or ties necessary? J Pediatr Surg 2009^4(1):298-301.         [ Links ]

42. Bhandary KS, Kumaran V, Rajamani G, et al. Laparoscopic assisted anorectal pull through: Reformed techniques. J Indian Assoc Pediatr Surg 2009;14(4):210-214.         [ Links ]

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License