Laparoscopic surgical technique to enhance the management of anorectal malformations: 330 cases’ experience in a single center

Large single-center series of 330 patients demonstrates laparoscopic-assisted anorectoplasty (LAARP) achieves excellent functional outcomes for high and intermediate anorectal malformations, with 95% voluntary bowel control and 89% minimal soiling at median 5.8-year follow-up. Technique emphasizes complete rectal mobilization, intra-rectal fistula closure, and precise muscle complex identification.