One-Stage Versusc Staged Laparoscopic-Assisted Anorectoplasty for High-and Intermediate Anorectal Malformations: Medium-Term Outcomes from a Propensity Score Matching Analysis
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Jan 2022 · 1 min read
In brief
In brief
This propensity-matched study of 242 boys with high and intermediate anorectal malformations demonstrates that one-stage laparoscopic-assisted anorectoplasty in neonates results in significantly fewer postoperative complications compared to traditional staged procedures with colostomy. The findings support primary repair as a viable alternative that may improve outcomes while avoiding the morbidity of staged reconstruction.
Written by the GCMD Library team from the article.
Background
The timing of anorectoplasty for anorectal malformations (ARMs) is controversial and essential for long-term bowel function. The advantages of laparoscopy make primary anoplasty possible for neonates. This study aims to report the medium-term results of the one-stage laparoscopic-assisted anorectoplasty (LAARP) and compare them with the staged LAARP.
Methods
This study included 242 boys who underwent LAARP between June 2013 and December 2018 in our center. Forty-five neonatal patients successfully underwent the one-stage LAARP, and the remaining 197 patients who had already undergone colostomy received staged procedures. The complications and bowel function were compared between the two groups after 1:1 propensity score matching (PSM).
Results
: Before matching, age at assessment and classification were significantly different between the two groups (P< 0.05). After PSM, 42 patients were included in each of the two groups, and the patients were well balanced. The overall occurrence of postoperative complications in the one-stage group was significantly lower than in the staged group (P