The Current Practice of Laparoscopically Assisted Anorectoplasty for Male Patients – An International Pediatric Endosurgery Group Survey

jpedsurg.org

Laparoscopically assisted anorectoplasty (LAARP) is a common surgical approach for male patients with anorectal malformations requiring access to the abdominal cavity. Long-term outcomes are comparable to those of traditional approaches, such as posterior sagittal anorectoplasty. However, technical variations in practice are widespread. In this study, we investigated the factors and trends in surgeons’ preferences when performing LAARP.

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Article · Sep 2025 · 1 min read

In brief

This survey examines current surgical practices for laparoscopically assisted anorectoplasty (LAARP) in male patients with anorectal malformations, revealing significant technical variations among pediatric surgeons worldwide. While LAARP outcomes match traditional posterior sagittal approaches, the study identifies key factors influencing surgeon preferences and technique selection.

LAARP is now a common surgical approach for male anorectal malformations requiring abdominal access.
Long-term outcomes of LAARP are comparable to traditional posterior sagittal anorectoplasty.
Significant technical variation exists in how surgeons perform LAARP globally.
Survey data reveals diverse surgeon preferences in LAARP technique despite similar outcomes.

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