Comparison of outcomes between laparoscopy-assisted and posterior sagittal anorectoplasties for male imperforate anus with recto-bulbar fistula.


PURPOSE:All reports comparing laparoscopy-assisted anorectoplasty (LAARP) with posterior sagittal anorectoplasty (PSARP) in male high-type imperforate anus include a mix of recto-vesical, recto-prostatic, recto-bulbar, and absent fistula cases without focusing on recto-bulbar fistula (RBF), the most challenging type to treat laparoscopically. We compared LAARP with PSARP for treating only RBF. METHOD:We used our fecal continence evaluation questionnaire (FCE; maximum score=10), scoring of magnetic resonance imaging (MRI) findings (MRI scores), and the angle between the rectum and the anal canal (RAA) to assess 20 RBF cases (LAARP=12, PSARP=8) treated from 2000 to 2013 prospectively. RESULTS:Mean ages at surgery, MRI scores, mean RAA, and duration of raised C-reactive protein (6.6 vs. 6.7days; p=NS) were similar. In all cases, postoperative MRI showed no residual fistula and normal urination. LAARP had consistently higher FCE (7.9 vs. 7.8 at 3years; 8.6 vs. 8.3 at 5years; 8.9 vs 8.6 at 7years; p=NS, respectively), less wound infections (0 vs. 37.5%; p<0.05), higher incidence of rectal mucosal prolapse (50.0 vs. 0%; p<0.05), and required less analgesia (p<0.05). CONCLUSION:Although LAARP and PSARP are comparable for treating RBF, LAARP is associated with less wound infections and higher incidence of rectal mucosal prolapse.


J Pediatr Surg


Koga H,Ochi T,Okawada M,Doi T,Lane GJ,Yamataka A




Has Abstract


2014-12-01 00:00:00














  • Acute orchitis in recurrent polyserositis.

    abstract::The authors report an unusual case of bilateral short term acute orchitis in a patient with recurrent polyserositis (familial Mediterranean fever). ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Moskovitz B,Bolkier M,Nativ O

    更新日期:1995-10-01 00:00:00

  • Validation of the pediatric surgical risk assessment scoring system.

    abstract:BACKGROUND:Within the adult population, there exist numerous validated risk stratification tools aimed at predicting postoperative outcomes using preoperative and intraoperative parameters. However, similar tools for the pediatric population are scarce. We previously developed and reported on a scoring system to predic...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Wood G,Barayan G,Sanchez DC,Inoue GN,Buchalla CA,Rossini GA,Trevisani LF,Prado RR,Passerotti CC,Nguyen HT

    更新日期:2013-10-01 00:00:00

  • Intrathyroidal thymic tissue in children: Avoiding unnecessary surgery.

    abstract:BACKGROUND/PURPOSE:Intrathyroidal thymic tissue may be misinterpreted as a thyroid lesion in children, leading to invasive tests or resection. We sought to describe the characteristic imaging features of these lesions and to evaluate the safety of non-operative management. METHODS:A retrospective review of all patient...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Kay-Rivest E,Mascarella MA,Puligandla P,Emil S,Saint-Martin C,Nguyen LHP,Daniel SJ,Baird R

    更新日期:2018-05-01 00:00:00

  • Precocious puberty because of a pancreatic neuroectodermal tumor.

    abstract::Primitive neuroectodermal tumors (PNETs) are uncommon, representing approximately 1% of all sarcomas. Pancreatic PNETs have been reported only 12 times in the literature. This report presents the first case of a patient with a PNET exhibiting precocious puberty. The clinical presentation, surgical management, and path...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Schutte WP,Knight PJ

    更新日期:2006-11-01 00:00:00

  • Treatment with an HLA-peptide and cyclosporine A prolongs rat small bowel allograft survival.

    abstract:BACKGROUND:The ultimate treatment for severe short bowel syndrome is small bowel transplantation (SBT). Current immunosuppression for SBT is relatively ineffective and toxic. Peptides derived from residues 75-84 of the HLA-B7 molecule are immunomodulatory in vitro, and in rodents, when combined with subtherapeutic dose...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Willetts IE,Tam PK,Morris PJ,Dallman MJ

    更新日期:1997-03-01 00:00:00

  • Significance of 'blush' on computed tomography scan in children with liver injury.

    abstract:BACKGROUND/PURPOSE:The aim of this study was to determine if the presence of "blush" (an indication of active bleeding) on abdominal CT in children with blunt liver injury adversely affected their clinical outcome as has been reported in adults. METHODS:The authors reviewed the records of 105 children ages 1 to 16 yea...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,评审


    authors: Eubanks JW 3rd,Meier DE,Hicks BA,Joglar J,Guzzetta PC

    更新日期:2003-03-01 00:00:00

  • The anterior mediastinal approach for management of tracheomalacia.

    abstract:BACKGROUND:Tracheomalacia occurs as a primary developmental defect or may be secondary to vascular compression. It is common in association with esophageal atresia and tracheoesophageal fistula. Collapse of the weak trachea is a cause of recurrent respiratory symptoms but may be severe and life threatening. METHODS:Be...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Morabito A,MacKinnon E,Alizai N,Asero L,Bianchi A

    更新日期:2000-10-01 00:00:00

  • An immunohistochemical study of neurofilament and microtubule-associated Tau protein in the enteric innervation in Hirschsprung's disease.

    abstract::The distribution and localization of neurofilament (NF) and microtubule-associated tau protein (Tau) in the colon from Hirschsprung's disease were examined by immunohistochemistry. Specimens of the normoganglionic, oligoganglionic, and aganglionic segments of colons from nine patients with Hirschsprung's disease were ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Deguchi E,Iwai N,Goto Y,Yanagihara J,Fushiki S

    更新日期:1993-07-01 00:00:00

  • Medical conferences in the era of environmental conscientiousness and a global health crisis: The carbon footprint of presenter flights to pre-COVID pediatric urology conferences and a consideration of future options.

    abstract:INTRODUCTION:Medical conferences are integral to academic medicine, with academic posters being a well-established medium for presenting research. However, conferences carry an ecological footprint due to greenhouse gas emissions. Furthermore, traditional conference formats have recently not been possible due to the CO...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,评审


    authors: Milford K,Rickard M,Chua M,Tomczyk K,Gatley-Dewing A,Lorenzo AJ

    更新日期:2020-07-16 00:00:00

  • Transanal one-stage endorectal pull-through for Hirschsprung's disease: a multicenter study.

    abstract:BACKGROUND/PURPOSE:Transanal endorectal pull-through (TEPT) is the latest development in treatment of Hirschsprung's disease (HD). This prospective study was designed to evaluate the safety and efficacy of 1 stage TEPT technique in the management of patients with HD. METHODS:One hundred forty-nine children (116 boys a...

    journal_title:Journal of pediatric surgery

    pub_type: 临床试验,杂志文章,多中心研究


    authors: Elhalaby EA,Hashish A,Elbarbary MM,Soliman HA,Wishahy MK,Elkholy A,Abdelhay S,Elbehery M,Halawa N,Gobran T,Shehata S,Elkhouly N,Hamza AF

    更新日期:2004-03-01 00:00:00

  • Accessory liver in an infant with congenital diaphragmatic hernia.

    abstract::Incidence of congenital diaphragmatic hernia (CDH) ranges from 1 in 2,400 to one in 5,000 live births. Associated anomalies in CDH are approximately 30% to 35%. The authors report on an infant with CDH and an accessory supradiaphragmatic liver with separate vascularization from the thoracic aorta. The pathogenesis of ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Beiler HA,Sergi C,Wagner G,Zachariou Z

    更新日期:2001-06-01 00:00:00

  • 3D printing to simulate laparoscopic choledochal surgery.

    abstract:AIMS OF THE STUDY:Laparoscopic simulation has transformed skills acquisition for many procedures. However, realistic nonbiological simulators for complex reconstructive surgery are rare. Life-like tactile feedback is particularly difficult to reproduce. Technological innovations may contribute novel solutions to these ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Burdall OC,Makin E,Davenport M,Ade-Ajayi N

    更新日期:2016-05-01 00:00:00

  • Gene expression of fibroblast growth factors 10 and 7 is downregulated in the lung of nitrofen-induced diaphragmatic hernia in rats.

    abstract:BACKGROUND/PURPOSE:Newborns with congenital diaphragmatic hernia (CDH) still have a high mortality rate, which has been attributed to pulmonary hypoplasia and pulmonary hypertension. Fibroblast growth factors (FGFs) are essential components of the gene network that regulates lung development. Recent studies suggest tha...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Teramoto H,Yoneda A,Puri P

    更新日期:2003-07-01 00:00:00

  • New mouse models of congenital anorectal malformations.

    abstract:BACKGROUND/PURPOSE:The genetic, embryological, and pathogenetic aspects of hindgut development remain poorly understood. Recently, the morphogenetic pathway involving the Sonic hedgehog (Shh) gene has been shown essential to the normal development of many midaxial organs, including the foregut. This study reports genet...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Kimmel SG,Mo R,Hui CC,Kim PC

    更新日期:2000-02-01 00:00:00

  • Complications related to the Nuss procedure: minimizing risk with operative technique.

    abstract:INTRODUCTION:Pectus Excavatum (PEx) is the most frequent congenital chest wall deformity; surgical correction has a complication rate of 10%-50%. The purpose of this study was to evaluate outcomes in a recent cohort of pediatric patients from a single institution and investigate factors associated with complications. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Fallon SC,Slater BJ,Nuchtern JG,Cass DL,Kim ES,Lopez ME,Mazziotti MV

    更新日期:2013-05-01 00:00:00

  • Left mainstem bronchopexy for severe bronchomalacia.

    abstract::Severe bronchomalacia occurred in a 14-month-old boy, as a result of compression of the left mainstem bronchus by a bronchogenic cyst. After resection of the cyst, the bronchomalacia was corrected by suspension of the posterolateral bronchial wall to the ligamentum arteriosum. This method of bronchopexy may be of valu...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Kosloske AM

    更新日期:1991-03-01 00:00:00

  • Portal vein thrombosis in children and adolescents: the low prevalence of hereditary thrombophilic disorders.

    abstract:PURPOSE:The aim of this study was to determine the frequency of thrombophilic disorders in children and adolescents with portal vein thrombosis (PVT) as well as assessing the hereditary character of this disorder. METHODS:A 2-year prospective study was carried out in pediatric PVT patients (n = 14), their parents (n =...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Pinto RB,Silveira TR,Bandinelli E,Röhsig L

    更新日期:2004-09-01 00:00:00

  • Anorectal hamartoma in a neonate: a unique anorectal mass.

    abstract::Neonates presenting with perineal masses are uncommon. When encountered, most perineal masses are anorectal malformations, sacrococcygeal teratomas, rectal prolapse, or duplication cysts. We present an otherwise healthy newborn with a patent anal canal and a pedunculated anal mass. The mass was initially believed to b...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Upadhyaya P,Spilde TL,Tsao K,Ostlie DJ

    更新日期:2007-09-01 00:00:00

  • What pediatric surgeons read: Utilization of APSA e-mail blast literature reviews.

    abstract:PURPOSE:American Pediatric Surgical Association (APSA) committees send monthly email blasts to members with links to peer-reviewed publications. This study assesses the utilization of this service. METHODS:Email-opening and click-through rates were analyzed from 5/2012 to 4/2017 and compared to APSA and industry stand...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,评审


    authors: Ayub SS,Islam S,Downard CD,Goldin AB,Powell DM,Taylor JA

    更新日期:2019-04-01 00:00:00

  • Congenital intrarenal teratoma arising from a horseshoe kidney.

    abstract::We report a case of intrarenal teratoma arising from a horseshoe kidney. A 6-day-old girl was admitted with an abdominal mass that had been noticed at 37 weeks gestation by routine ultrasonography. At 20 days of age, a tumorectomy with a right nephrectomy was performed. The pathological diagnosis was an immature terat...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Mochizuki K,Ohno Y,Tokai Y,Kanematsu T,Okada M,Kamitamari A,Moriuchi H,Noguchi M,Hayashi T

    更新日期:2006-07-01 00:00:00

  • Mediastinal hematoma mimicking aortic rupture.

    abstract::The case of a child who fell a relatively short distance and had clinical and x-ray findings consistent with a ruptured aorta is presented. At surgery, a mediastinal hematoma was found. Diagnostic and therapeutic implications are discussed. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Fleisher AG,David I,Hilfer C,Mekhjian HA,Stanley-Brown EG

    更新日期:1986-05-01 00:00:00

  • Aneurysmal bone cyst mimicking Ewing's sarcoma of the rib.

    abstract::A cantaloupe-sized intrathoracic tumor destroying the eighth rib with a pleural effusion is ominous. This case of an aneurysmal bone cyst of a rib mimicking a malignant chest wall tumor was both interesting and instructive. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Hurvitz JS,Harrison MR,Weitzman JJ

    更新日期:1977-12-01 00:00:00

  • Effects of the administration of pentoxifylline and prednisolone on the evolution of portal fibrogenesis secondary to biliary obstruction-an experimental study in growing animals.

    abstract:BACKGROUND:Many chronic liver diseases lead to progressive hepatic fibrosis, a condition that can ultimately result in loss of organ function and severe portal hypertension necessitating hepatic transplantation. Within the last few decades, studies have been conducted to demonstrate the possibility of drug modulation o...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Andrade Wde C,Tannuri U,da Silva LF,Alves VA

    更新日期:2009-11-01 00:00:00

  • Cannulating the contraindicated: effect of low birth weight on mortality in neonates with congenital diaphragmatic hernia on extracorporeal membrane oxygenation.

    abstract:BACKGROUND/PURPOSE:Restrictions for ECMO in neonates include birth weight less than 2kg (BW <2kg) and/or gestational age less than 34weeks (GA <34weeks). We sought to describe their relationship on mortality. METHODS:Neonates with a primary diagnosis code of CDH were identified in the Extracorporeal Life Support Organ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Delaplain PT,Zhang L,Chen Y,Nguyen DV,Di Nardo M,Cleary JP,Yu PT,Guner YS

    更新日期:2017-12-01 00:00:00

  • Three-dimensional visualization and virtual simulation of resections in pediatric solid tumors.

    abstract:PURPOSE:Three-dimensional visualization of solid tumors is possible because of high-resolution computed tomography and magnetic resonance imaging scans. However, additional preoperative information is often desirable in complex malignancies. For the first time, the authors present a model of preoperative 3-dimensional ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Fuchs J,Warmann SW,Szavay P,Kirschner HJ,Schäfer JF,Hennemuth A,Scheel-Walter HG,Bourquain H,Peitgen HO

    更新日期:2005-02-01 00:00:00

  • Nonoperative management of liver injuries following blunt abdominal trauma in children.

    abstract::In a 4-year span, 12 patients with hepatic trauma were treated at our institution. After initial resuscitation, three underwent emergency celiotomy because of the severity of their injuries. This communication analyses the other nine. All of these had significant liver injuries and were managed nonoperatively. Hepatic...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Grisoni ER,Gauderer MW,Ferron J,Izant RJ Jr

    更新日期:1984-10-01 00:00:00

  • Contractile properties of intralobar pulmonary arteries and veins in the fetal lamb model of congenital diaphragmatic hernia.

    abstract:BACKGROUND/PURPOSE:Pulmonary hypertension plays a significant role in the pathophysiology of congenital diaphragmatic hernia (CDH). Although there has been an intensive research effort directed at mediators that may cause pulmonary vasoconstriction, no single agent has been identified. The authors hypothesize that ther...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Irish MS,Glick PL,Russell J,Kapur P,Bambini DA,Holm BA,Steinhorn RH

    更新日期:1998-06-01 00:00:00

  • Metallic foreign body in the appendix of 3-year-old boy.

    abstract::Foreign body-induced appendicitis is a rare but well-known entity. This condition was discovered during the first appendectomy performed almost 275 years ago. For the pediatric surgeon, evaluation of a patient for swallowed foreign bodies is common, and most foreign bodies traverse the gastrointestinal tract without i...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Hartin CW Jr,Lau ST,Caty MG

    更新日期:2008-11-01 00:00:00

  • Implications of transfer status on bowel loss in children undergoing emergency surgery for malrotation.

    abstract:OBJECTIVE:Malrotation with midgut volvulus is a time-sensitive pediatric surgical disease that requires emergent operative exploration to avoid bowel loss; however, it also requires specialized pediatric care. The purpose of this study was to identify disparities in bowel resection in children who underwent emergency s...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Polites SF,Lautz TB,Jenkins TM,Dasgupta R

    更新日期:2019-09-01 00:00:00

  • Lessons Learned After 101 Cases of Single-Site Magnetic-Assisted Cholecystectomy in Children.

    abstract:BACKGROUND / PURPOSE:The aim of this report is to present our experience with a magnetic-assisted single-site cholecystectomy technique ("magnachole") in pediatric patients. METHODS:We performed a retrospective chart review of all patients who underwent magnachole between 2009 and 2019. We evaluated patients' demograp...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Toselli L,Millán C,Gallardo CC,Prodan S,Bignón H,Munzón GB,Buela E,Valverde MS,Rabinovich F,Martínez J,Calello S,Cieri P,Martínez-Ferro M

    更新日期:2020-08-01 00:00:00