• Laparoscopic or laparotomic techniques for the colostomy formation in newborns with anorectal atresia?

Laparoscopic or laparotomic techniques for the colostomy formation in newborns with anorectal atresia?

PAEDIATRIC SURGERY.UKRAINE.2018.2(59):64-66; DOI 10.15574/PS.2018.59.64

Axelrov M. A., Sergienko Т. V., Verholantsev О. A.
Tyumen State Medical University of the Ministry of Health of the Russian Federation
The Regional Clinical Hospital No.2, Tyumen, Russia

The incidence rate of anorectal malformations is 1 in 4000–5000 live births and characterized by a wide range of options. The specialized in this problem surgeons often choose the staging treatment approach, and the question of gut exteriorization often rises already in the neonatal period.
Objective: to analyze the results of the colostomy formation in children with anorectal malformations, primarily operated in the neonatal period by using laparotomic and laparoscopic techniques.
Materials and methods. In the paediatric surgery clinic of the Tyumen SMU, 52 newborns were treated with anorectal atresia with average body weight 3172.5±694.99 grams during the period of 2010–2016. There were 32 males and 20 females. A double separated stoma, as the first stage of the defect correction, was performed in 48 children, moreover in 31 (59.6%) children; it was done urgently in the neonatal period.
Results and conclusions. Analysis of the postoperative course showed that the use of laparoscopy for colostomy as compared to laparotomy allows faster stabilizing the gastrointestinal transit, earlier feeding and reducing the time of the child’s hospital stay.
Key words: newborns, children, paediatric surgery, anorectal malformations, anal atresia, colostomy.


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