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

Arnold M. ; Sidler D. ; Moore S.W. (2011)

Article

We report on a primary laparoscopically assisted anorectal pullthrough (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.

Please refer to this item in SUNScholar by using the following persistent URL: http://hdl.handle.net/10019.1/14507
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