Laparoscopic Versus Open Surgical Repair of Anorectal Malformations: A Systematic Review and Meta-Analysis.

ABSTRACT:

Background

Laparoscopic-assisted anorectoplasty (LAARP) and posterior sagittal anorectoplasty (PSARP) are established procedures for the treatment of high and intermediate anorectal malformations (ARMs). Their comparative outcomes remain under investigation.

Objective

To compare the outcomes of LAARP and PSARP in children with high and intermediate ARMs.

Methods

PubMed, Web of Science, Scopus, and the Cochrane Library were searched from database inception up to April 2025 for prospective studies comparing LAARP and PSARP. Data were analyzed using Review Manager (RevMan) 5.4. A fixed-effect model was primarily used for data synthesis. However, a random-effects model was applied in cases of significant heterogeneity.

Results

Eight studies were included, of which

SUBMITTER: Alansari AN 

PROVIDER: S-EPMC12701234 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature