Objective To present a case series of pediatric patients who underwent a laparoscopic-assisted divided colostomy for ano- rectal 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 laparo- scopic-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 tech- nique. It offers similar advantages of the open technique, with the added benefits of avoiding wound-related complications and improved cosmetic results. Keywords Laparoscopic-assisted divided colostomy · Anorectal malformation · Pediatric Introduction the fecal stream to prevent urinary tract infections, as well as to allow for growth
Pediatric Surgery International – Springer Journals
Published: Jun 5, 2018
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