Laparoscopically assisted versus open colostomy for anorectal malformations: a comparison of postoperative outcomes.

IF 1.6 3区医学 Q2 PEDIATRICS

Pediatric Surgery International Pub Date : 2025-07-26 DOI:10.1007/s00383-025-06108-5

G Axelsson, A Gunnarsdóttir, T Wester, A Löf Granström

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引用次数: 0

Abstract

Purpose: Colostomy is a common procedure in neonates with anorectal malformations (ARM) but carries a risk of complications, prompting the development of a laparoscopically assisted approach to minimize them. This study aimed to compare postoperative outcomes in ARM patients undergoing laparoscopically assisted versus open colostomies.

Methods: Medical records of all newborns with ARM who underwent colostomy at Karolinska University Hospital between 2012 and 2022 were retrospectively reviewed. Patients were grouped based on whether the colostomy was laparoscopy-assisted or fashioned through a limited open incision at the stoma site. Postoperative outcomes, including time to first oral feeding, hospital stay, and complications according to Clavien-Madadi, were compared.

Results: A total of 44 patients were included, of whom 14 underwent laparoscopically assisted colostomy. Among all patients, the median time to first oral feeding was zero days and the median hospital stay was eight days, with no significant group differences. Postoperative complications classified as Clavien-Madadi ≥ IB occurred in 2 patients (14%) in the laparoscopic group and 7 (23%) in the open colostomy group (p = 0.6). No significant differences in complication severity were observed.

Conclusion: Laparoscopically assisted colostomy has a similar risk of postoperative complications as open colostomy in patients with ARM.

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腹腔镜辅助与开放式结肠造口术治疗肛肠畸形：术后结果的比较。

目的：结肠造口术是新生儿肛肠畸形（ARM）的常见手术，但有并发症的风险，促使腹腔镜辅助入路的发展以尽量减少并发症。本研究旨在比较腹腔镜辅助结肠造口术与开放式结肠造口术在ARM患者中的术后效果。方法：回顾性分析2012年至2022年在卡罗林斯卡大学医院接受结肠造口术的所有ARM新生儿的医疗记录。根据结肠造口术是否在腹腔镜辅助下或通过造口部位的有限开放切口进行分组。根据Clavien-Madadi，比较术后结果，包括首次口服喂养时间、住院时间和并发症。结果：共纳入44例患者，其中14例行腹腔镜辅助结肠造口术。在所有患者中，首次口服喂养的中位时间为0天，中位住院时间为8天，组间差异无统计学意义。腹腔镜组出现Clavien-Madadi≥IB级并发症2例（14%），开放结肠造口组出现7例（23%）（p = 0.6）。并发症严重程度无明显差异。结论：腹腔镜辅助结肠造口术与开放式结肠造口术在ARM患者中具有相似的术后并发症风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Surgery International 医学-外科

CiteScore

3.00

自引率

5.60%

发文量

215

审稿时长

3-6 weeks

期刊介绍： Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor