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Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2016; 8(10): 670-678
Published online Oct 27, 2016. doi: 10.4240/wjgs.v8.i10.670
Advances in minimally invasive neonatal colorectal surgery
Ashwath S Bandi, Catherine J Bradshaw, Stefano Giuliani
Ashwath S Bandi, Catherine J Bradshaw, Stefano Giuliani, Department of Paediatric Surgery, St George’s University Hospitals NHS Foundation Trust, London SW17 0QT, United Kingdom
Author contributions: Bandi AS and Bradshaw CJ conducted a review of the literature and drafted the manuscript; Giuliani S provided expert opinion, reviewed, edited and approved the final version of the paper.
Conflict-of-interest statement: Authors declare no conflict of interests in relation to this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Stefano Giuliani, MD, Department of Paediatric Surgery, St George’s University Hospitals NHS Foundation Trust, Lanesborough Wing, Blackshaw Road, London SW17 0QT, United Kingdom. stefano.giuliani@nhs.net
Telephone: +44-20-87252097 Fax: +44-20-87250711
Received: March 29, 2016
Peer-review started: April 5, 2016
First decision: July 13, 2016
Revised: July 27, 2016
Accepted: August 17, 2016
Article in press: August 18, 2016
Published online: October 27, 2016
Abstract

Over the last two decades, advances in laparoscopic surgery and minimally invasive techniques have transformed the operative management of neonatal colorectal surgery for conditions such as anorectal malformations (ARMs) and Hirschsprung’s disease. Evolution of surgical care has mainly occurred due to the use of laparoscopy, as opposed to a laparotomy, for intra-abdominal procedures and the development of trans-anal techniques. This review describes these advances and outlines the main minimally invasive techniques currently used for management of ARMs and Hirschsprung’s disease. There does still remain significant variation in the procedures used and this review aims to report the current literature comparing techniques with an emphasis on the short- and long-term clinical outcomes.

Keywords: Neonatal surgery, Laparoscopy, Anorectal malformation, Colorectal surgery, Hirschsprung’s disease

Core tip: This review describes the recent evolution of neonatal colorectal surgery. It details the advances and current techniques since the introduction of laparoscopic surgery and minimally invasive approaches to the surgical management of anorectal malformations and Hirschsprung’s disease. This review focuses on the various surgical options available and the benefits of these different techniques, outlining the current literature reporting the short- and long-term outcomes for these procedures.