ABSTRACT
The laparoscopic approach is not indicated for children with low anorectal malformations characterized by a perineal or vestibular fistula. In general, laparoscopic-assisted anorectal pull-through (LAARP) is most appropriate for high anorectal malformations in boys, including those with rectourethral fistula, recto-bladderneck fistula, and high imperforate anus without a fistula. Laparoscopy has also been used by several authors for selected forms of cloacal malformations, in order to evaluate the intraabdominal anatomy and to perform mobilization of pelvic structures. The role of laparoscopy in this setting will not be addressed in this chapter.
