{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:21:44Z","timestamp":1777944104887,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To report our experience with laparoscopic-assisted anorectoplasty (LAARP) for anorectal malformations (ARM) performed without ligation of the rectourinary fistula (RUF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      In this single-center study, we retrospectively analyzed all consecutive primary LAARP procedures for ARM without RUF ligation performed between 2004 and 2022. Forty patients were included (19 rectobulbar, 16 rectoprostatic, 5 rectobladder). Colostomy was performed at a median age of 1 day and LAARP at 147 days (median weight 6 kg). Median operative time was 180 minutes, and 1 patient required conversion. No early complications were associated with omission of RUF ligation. Foley catheters were kept for a median of 10 days, postoperative stay was 5 days, and colostomy closure occurred at 7 months. The median follow-up was 6.7 years. Cystoscopy and cystography were performed in 17% and 20% of patients, respectively, with no remnants of the original fistula (ROOF). Eight patients (20%) had urological issues: neurogenic bladder (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3), bladder dyssynergia (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2), urinary retention (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2), and non-LAARP-related urethral stenosis (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). Regarding late outcomes, 2 patients (5%) underwent redo anorectoplasty, 11 (27%) required prolonged dilations, 4 (10%) underwent redo anoplasty, and 2 (5%) underwent revision for mucosal prolapse. Among those &gt;4 years, 84% had voluntary bowel movements, 76% soiling, and 52% constipation; 53% of those &lt;4 years required laxatives.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>LAARP without ligation of the RUF for ARM appears to be a safe and effective technique, with favorable long-term urological and functional outcomes. No patients experienced urethral injury or ROOF.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261426050","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T04:26:57Z","timestamp":1772425617000},"page":"322-328","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic-Assisted Anorectoplasty for Anorectal Malformations Without Rectourinary Fistula Ligation: Two Decades of Experience at a Tertiary Center"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8368-0715","authenticated-orcid":false,"given":"Angelo","family":"Zarfati","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery and Transplantation, Femme Mere Enfant University Hospital, Lyon, France."},{"name":"University of Tor Vergata, Rome, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillaume","family":"Rossignol","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Transplantation, Femme Mere Enfant University Hospital, Lyon, France."},{"name":"Claude Bernard Lyon 1 University, Villeurbanne, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Remi","family":"Dubois","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Transplantation, Femme Mere Enfant University Hospital, Lyon, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederic","family":"Hameury","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Transplantation, Femme Mere Enfant University Hospital, Lyon, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Gelas","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Transplantation, Femme Mere Enfant University Hospital, Lyon, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre Yves","family":"Mure","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Transplantation, Femme Mere Enfant University Hospital, Lyon, France."},{"name":"Claude Bernard Lyon 1 University, Villeurbanne, 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