Laparoscopic-Assisted Anorectoplasty for Rectovestibular Fistula: A Comparison Study with Anterior Sagittal Anorectoplasty

Comparative study of 68 patients demonstrates laparoscopic-assisted anorectoplasty (LAARP) offers superior outcomes to anterior sagittal approach for rectovestibular fistula repair, with significantly fewer complications (4.0% vs 27.9%) and better cosmetic results despite longer operative time. LAARP particularly benefits intermediate-height fistulas where traditional approaches risk wound complications.