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Laparoscopic-assisted divided colostomy for anorectal malformation case series: a description of technique, clinical outcomes and a review of the literature

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Abstract

Objective

To present a case series of pediatric patients who underwent a laparoscopic-assisted divided colostomy for anorectal malformations, describe our technique, and provide a review of the literature on laparoscopic-assisted colostomy in pediatric patients.

Methods

We performed a retrospective review of six patients born with anorectal malformations, who received a laparoscopic-assisted colostomy from 2012 to 2016 at Cardinal Glennon Children’s Medical Center.

Results

The average operating time was 74.5 min. Laparoscopic colostomy types included divided (n = 5) and end colostomy with Hartmann’s (n = 1). Location of the colostomy was selected just distal to the descending colon (n = 5) or at the sigmoid flexure (n = 1). Feeds and stoma production was achieved within 24 h from surgery in most patients. There were no major complications except one patient having a mucosal fistula prolapse that was easily reduced.

Conclusions

Laparoscopic-assisted colostomy in the management of anorectal malformations is a safe and effective technique. It offers similar advantages of the open technique, with the added benefits of avoiding wound-related complications and improved cosmetic results.

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Funding

No funding was received for this study.

Author information

Authors and Affiliations

  1. Department of Pediatric Surgery, Cardinal Glennon Children’s Medical Center, St. Louis, USA

    Saurabh Saxena, Kaveer Chatoorgoon & Gustavo A. Villalona

  2. Saint Louis University School of Medicine, St. Louis, USA

    Saurabh Saxena, Mitchell Gibbons, Kaveer Chatoorgoon & Gustavo A. Villalona

Authors
  1. Saurabh Saxena
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  2. Mitchell Gibbons
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  3. Kaveer Chatoorgoon
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  4. Gustavo A. Villalona
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Corresponding author

Correspondence to Saurabh Saxena.

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Conflict of interest

Mr. Saurabh Saxena declares that he has no conflict of interest. Mr. Mitchell Gibbons declares he has no conflict of interest. Mr. Kaveer Chatoorgoon declares he has no conflict of interest. Mr. Gustavo A. Villalona declares he has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Since this study was done as a retrospective review of preexisting clinical data with no individually identifiable information collected this study was approved as an exempt study by Saint Louis University Institutional Review Board and no informed consent was required for this study.

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Saxena, S., Gibbons, M., Chatoorgoon, K. et al. Laparoscopic-assisted divided colostomy for anorectal malformation case series: a description of technique, clinical outcomes and a review of the literature. Pediatr Surg Int 34, 861–871 (2018). https://doi.org/10.1007/s00383-018-4289-2

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  • DOI: https://doi.org/10.1007/s00383-018-4289-2

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