94 results match your criteria laparoscopic-assisted posterior

Choice of LECS Procedure for Benign and Malignant Gastric Tumors.

J Gastric Cancer 2021 Jun 30;21(2):111-121. Epub 2021 Jun 30.

Department of Surgery, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Changwon, Korea.

Laparoscopic endoscopic cooperative surgery (LECS) refers to the endoscopic dissection of the mucosal or submucosal layers with laparoscopic seromuscular resection. We recommend a treatment algorithm for the LECS procedure for gastric benign tumors according to the protruding type. In the exophytic type, endoscopic-assisted wedge resection can be performed. Read More

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Neonatal Renal Failure in the Setting of Anorectal Malformation: A Case Report and Literature Review.

Cureus 2021 May 12;13(5):e14984. Epub 2021 May 12.

Pediatric Surgery, University of Missouri Kansas City School of Medicine, Kansas City, USA.

Anorectal malformations (ARMs) can occur in isolation or in association with other anomalies, most commonly those of the genitourinary systems. Morbidity and mortality are highest among patients who develop end-stage renal disease (ESRD) either from severe congenital anomalies (dysplastic kidneys) or from repeated infections in those who have vesicoureteral reflux or persistent recto-urinary fistulas. We describe our management strategy for a patient born with an ARM and bilateral dysplastic kidneys to highlight the nuances and complex decision-making considerations required in taking care of this complex patient population. Read More

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Retroperitoneal Laparoscopic-Assisted Retrieval of Wall-Penetrating Inferior Vena Cava Filter After Endovascular Techniques Failed: An Initial Clinical Outcome.

Vasc Endovascular Surg 2021 Oct 3;55(7):706-711. Epub 2021 Jun 3.

Department of Urology, Beijing Jishuitan Hospital, the 4th Medical College of Peking University, Beijing, China.

Background: Inferior vena cava (IVC) filters are commonly used in China to prevent pulmonary embolisms in patients with deep vein thrombosis. However, IVC filter removal is complicated when the filter has penetrated the IVC wall and endovascular techniques usually fail. The purpose of this study was to evaluate the effectiveness and safety of retroperitoneal laparoscopic-assisted retrieval of wall-penetrating IVC filters after endovascular techniques have failed. Read More

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October 2021

A hybrid approach for chronic pancreatitis: combination of laparoscopic assisted distal pancreatectomy and open Frey procedure.

BMC Surg 2021 Feb 18;21(1):91. Epub 2021 Feb 18.

Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, 4678601, Japan.

Background: The treatment of chronic pancreatitis requires a surgical approach in patients who are refractory to medical therapy. During surgical treatment, ductal decompression is required, but a pancreatectomy is necessary for some patients, such as those with severe stenosis of the pancreatic duct. Indeed, suboptimal procedures lead to recurrent pancreatitis. Read More

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February 2021

[Safety and feasibility of laparoscopic double-flap technique in digestive tract reconstruction after proximal gastrectomy for esophagogastric junction tumors larger than 5 cm].

Zhonghua Wei Chang Wai Ke Za Zhi 2021 Feb;24(2):167-172

Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Hospital of Traditional Chinese Medicine, Guangzhou 510120, China.

To investigate the safety and feasibility of laparoscopic double-flap technique (Kamikawa) in digestive tract reconstruction after proximal gastrectomy for esophagogastric junction (EGJ) leiomyoma and gastrointestinal stromal tumor (GIST) with the maximum diameter >5 cm. A descriptive case-series study was used to retrospectively analyze the data of patients with EGJ leiomyoma and GIST undergoing laparoscopic-assisted proximal gastrectomy and double-flap technique (Kamikawa) at the Department of Gastrointestinal Surgery, Guangdong Hospital of Traditional Chinese Medicine from September 2017 to March 2019. All the tumors invaded the cardia dentate line, and the maximum diameter was >5 cm. Read More

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February 2021

Laparoscopic-Assisted Longitudinal Incision and Transverse Anastomosis: A Novel Surgical Approach for Treatment of Esophageal Stenosis Caused by Tracheobronchial Remnants.

J Laparoendosc Adv Surg Tech A 2021 Mar 5;31(3):343-347. Epub 2021 Jan 5.

Department of Pediatric Surgery, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

To review the treatment of lower congenital esophageal stenosis caused by tracheobronchial remnants (TBR) and to introduce a novel technical approach through laparoscopic surgery. Patients with TBR who underwent surgery in our single-center from January 2016 to December 2019 were enrolled. Resection of cartilage with stenotic esophageal segment and end-to-end anastomosis was the traditional surgery. Read More

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The Utility of Indocyanine Green Angiography in the Assessment of Perfusion of Gastric Conduit and Proximal Esophageal Stump Against Visual Assessment in Patients Undergoing Esophagectomy: a Prospective Study.

Indian J Surg Oncol 2020 Dec 11;11(4):684-691. Epub 2020 May 11.

Department of Surgical Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, India.

Post esophagectomy anastomotic leakage is a crucial factor in determining morbidity and mortality. Good vascularity of the gastric conduit is essential to avoid this complication. This prospective study compares the utility of intraoperative indocyanine green (ICG) fluorescence angiography and visual assessment in assessing the vascularity of gastric conduit and proximal esophageal stump in patients undergoing esophagectomy. Read More

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December 2020

Postoperative "complications" following laparoscopic-assisted anorectoplasty: A systematic review.

Pediatr Surg Int 2020 Nov 26;36(11):1299-1307. Epub 2020 Sep 26.

Department of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and Westminster Hospital NHS Fdn Trust, Imperial College London, London, UK.

Aim: This study reviewed the literature on the postoperative complications following laparoscopic-assisted anorectoplasty (LAARP).

Methods: A Medline and Embase search was performed for the terms "anorectal malformation" (ARM) "laparoscopic" and "complication". Articles without English full text, review articles, systematic reviews, case reports, case series < 5 cases and duplicate articles were excluded. Read More

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November 2020

Laparoscopic Posterior Versus Lateral Transversus Abdominis Plane Block in Gynecology.

JSLS 2020 Jul-Sep;24(3)

Department of Obstetrics and Gynecology, Yale University School of Medicine.

Background And Objectives: Transversus abdominis plane (TAP) block is a safe and effective type of regional anesthesia technique used in laparoscopic gynecologic surgery to minimize postoperative pain. Our study aimed to compare the analgesic effects of the posterior versus lateral approaches to laparoscopic-assisted TAP block in minimally invasive gynecologic surgery.

Methods: We performed a randomized controlled trial with 82 patients allocated to either posterior (n = 38) or lateral (n = 44) TAP block groups. Read More

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January 2021

Feasibility of laparoscopic-assisted transanal pelvic exenteration in locally advanced rectal cancer with anterior invasion.

Tech Coloproctol 2021 01 19;25(1):69-74. Epub 2020 Aug 19.

Department of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.

Background: Transanal (Ta) pelvic exenteration is a promising, minimally invasive method for treating locally advanced colorectal cancer. However, since it is technically difficult to perform, Ta pelvic exenteration is rarely reported in locally advanced T4 rectal cancer cases. The aim of this study was to evaluate the feasibility of transabdominal laparoscopy-assisted Ta pelvic exenteration. Read More

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January 2021

Minimal dissection of posterior wall of rectum reduces rectal prolapse in laparoscopic assisted anorectal pull-through.

J Pediatr Surg 2020 Sep 28;55(9):1969-1973. Epub 2020 May 28.

Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. Electronic address:

Purpose: To determine if minimal dissection of the posterior wall of rectum can reduce rectal prolapse after laparoscopic assisted anorectal pull-through (LAARP) in male anorectal malformation (ARM) with rectourethral fistula.

Methods: Eighty-six male patients with ARM who underwent LAARP in our center between 2007 and 2018 were retrospectively analyzed. There were 45 cases of prostatic urethral fistula, 24 bulbar urethral fistulas, and 15 bladder neck fistulas. Read More

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September 2020

Transanal rectal mucosectomy and muscular plication: A new technique for rectal prolapse in patients with an anorectal malformation.

J Pediatr Surg 2020 Nov 29;55(11):2531-2535. Epub 2020 May 29.

Centro Colorrectal para Niños de México y Latinoamérica, Hospital Ángeles Puebla, Mexico.

Background: Rectal prolapse after repair of an anorectal malformation (ARM) occurs at a frequency of 3.8% to 60.0%. Read More

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November 2020

[Long-term efficacy analysis of laparoscopic-assisted anorectoplasty for high and middle imperforate anus].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Dec;22(12):1177-1182

Department of Pediatric Surgery, The First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052, China.

To explore the long-term efficacy of laparoscopic-assisted anorectoplasty and conventional anorectoplasty in the treatment of children with high and middle anal atresia. A retrospective cohort study was used. Inclusion criteria: (1) children with high and middle anal atresia; (2) complicated with rectourethral or rectovesical fistula; (3) complete follow-up data. Read More

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December 2019

Quality of life and defecative function 10 years or longer after posterior sagittal anorectoplasty and laparoscopic-assisted anorectal pull-through for anorectal malformation.

Pediatr Surg Int 2020 Mar 17;36(3):289-293. Epub 2019 Dec 17.

Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Pokfulam Road, Hong Kong, China.

Purpose: In our center, patients with anorectal malformation, including males with recto-vesical (RV)/recto-bladder neck (RBN)/recto-prostatic urethral (RU) fistulas, and females with recto-vaginal (RV) fistulas have been treated by posterior sagittal anorectoplasty (PSARP) before 2000, and by laparoscopic-assisted anorectal pull-through (LAARP) thereafter. We would like to compare the quality of life (QOL) and long-term defecative function between these two groups of patients 10 years after reconstructive surgery.

Methods: Patients who underwent LAARP between 2001 and 2005 were compared with historical controls treated with PSARP between 1996 and 2000. Read More

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Identification of an occult recto-prostatic fistula with cystoscopy-assisted air colostogram.

Int J Surg Case Rep 2019 19;65:349-353. Epub 2019 Nov 19.

Department of Surgery, Section of Pediatric Surgery at Yale University, 333 Cedar St, FMB 131, New Haven, CT, United States. Electronic address:

Introduction: Anorectal malformations (ARM) in newborns classically present with the absence of a normal anus or an abnormally located anus. In a male infant with a high ARM, an initial diverting colostomy is later followed by a definitive posterior sagittal anorectoplasty (PSARP). Prior to definitive surgery an augmented-pressure colostogram is performed to identify the location of the fistula between the rectum and urogenital tract. Read More

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November 2019

Minimally invasive major hepatectomies: a Southeast Asian single institution contemporary experience with its first 120 consecutive cases.

ANZ J Surg 2020 04 12;90(4):553-557. Epub 2019 Nov 12.

Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.

Background: The role of minimally invasive major hepatectomy (MIMH) remains controversial and questions remain about its safety and reproducibility outside expert centres. This study examines the changing trends, safety and outcomes associated with the adoption of MIMH based on a contemporary single institution experience.

Methods: This study is a review of 120 consecutive patients who underwent MIMH between 2011 and 2018. Read More

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[A Case of Early-Developing Rapidly Progressive Glomerulonephritis after Laparoscopic-Assisted Distal Gastrectomy for Gastric Cancer].

Gan To Kagaku Ryoho 2019 Oct;46(10):1626-1628

Dept. of Surgery, Yokohama City University.

This is a case of a 76-year-old man who had no significant past medical or family history. In the current medical history, in November 2017, upper gastrointestinal endoscopy showed a semicircular protruding lesion in the posterior wall of the gastric antrum, and gastric cancer was diagnosed following biopsy. Endoscopic submucosal dissection(ESD)was performed in the same year for the treatment of gastric cancer(cT1aN0M0). Read More

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October 2019

Single-incision laparoscopic-assisted anorectoplasty for treating children with intermediate-type anorectal malformations and rectobulbar fistula: a comparative study.

Pediatr Surg Int 2019 Nov 7;35(11):1255-1263. Epub 2019 Sep 7.

Graduate School of Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100730, People's Republic of China.

Purpose: Single-incision laparoscopic-assisted anorectoplasty (SILAARP) was compared to posterior sagittal anorectoplasty (PSARP) for treating intermediate-type anorectal malformations (ARMs) with rectobulbar fistula.

Methods: Between December 2011 and January 2016, 48 children with intermediate-type ARMS were treated with SILAARP (n = 34) or PSARP (n = 14) in our centre. Data including demographics, complications, and long-term outcomes were retrospectively compared. Read More

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November 2019

Posterior urethral valve and anterior rectal duplication: a new combination.

BMJ Case Rep 2019 Jul 23;12(7). Epub 2019 Jul 23.

Paediatric Urology, Evelina London Children's Healthcare, London, UK.

We present a rare case of association of anterior rectal duplication and posterior urethral valve (PUV). A term neonate with no antenatal concerns was admitted with urosepsis and acute renal injury at 18 days of age. History revealed a poor urinary stream and dribbling. Read More

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Salvage Laparoscopic-Assisted Anorectoplasty after Failed Vestibular Fistula Repair Using Magnetic Resonance Image Guidance.

European J Pediatr Surg Rep 2019 Jan 23;7(1):e12-e15. Epub 2019 May 23.

Section of Pediatric Surgery, Department of Surgery, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan, United States.

Patients with vestibular fistula have a good functional outcome after posterior sagittal anorectoplasty (PSARP). While continence is often preserved, close follow-up and management of constipation are often required. Redo anorectal surgery has been associated with worse functional outcomes compared with primary procedures, possibly due to injury and scarring of the pelvic floor musculature and sphincter complex. Read More

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January 2019

Diagnosis and management of a remnant of the original fistula (ROOF) in males following surgery for anorectal malformations.

J Pediatr Surg 2019 Oct 28;54(10):1988-1992. Epub 2019 Feb 28.

Center for Colorectal and Pelvic Reconstruction-Nationwide Children's Hospital, Columbus, OH 43205, USA.

Purpose: A complication of the surgical management of anorectal malformations (ARMs) is a retained remnant of the original fistula (ROOF) formerly called a posterior urethral diverticulum (PUD). A ROOF may have multiple presentations or may be incidentally discovered during the work-up of ARM after previous surgery. We sought to define the entity and the surgical indications for excision of a ROOF when found. Read More

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October 2019

Long-term outcomes and complications after laparoscopic-assisted anorectoplasty vs. posterior sagittal anorectoplasty for high- and intermediate-type anorectal malformation.

Pediatr Surg Int 2018 Oct 17;34(10):1111-1115. Epub 2018 Aug 17.

Department of Pediatric Surgery, Saitama Children's Medical Center, Saitama, Japan.

Purpose: Laparoscopic-assisted anorectoplasty (LAARP) is a minimally invasive procedure in which the levator ani muscle is left to potentially improve postoperative fecal continence. This study aimed to retrospectively evaluate postoperative complications and long-term outcomes of fecal continence after LAARP and compare them to those after posterior sagittal anorectoplasty (PSARP).

Methods: Forty-five male patients with high and intermediate anorectal malformation (aged ≥ 4 years) who underwent LAARP or PSARP (LAARP 29, PSARP 16) from 1999 to 2013 were included. Read More

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October 2018

[Comparison of laparoscopic-assisted anorectoplasty and posterior sagittal anorectoplasty for high and intermediate anorectal malformations].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Jan;21(1):68-72

Department of General Surgery, Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China.

Objective: To compare the efficacy of laparoscopic-assisted anorectoplasty (LAARP) and posterior sagittal anorectoplasty (PSARP) for high and intermediate anorectal malformation (ARM).

Methods: Clinical data 60 children with high and intermediate ARM who underwent LAARP (40 cases of three-port laparoscopy, 20 cases of transumbilical single incision laparoscopy ) between January 2010 to December 2014 were retrospectively analyzed. Clinical data of 36 children with high and intermediate ARM who underwent PSARP between January 1992 to December 2002 were used as control. Read More

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January 2018

Laparoscopic-Assisted Modified Intersphincter Resection for Ultralow Rectal Cancer.

Ann Surg Oncol 2018 Apr 16;25(4):947-948. Epub 2018 Jan 16.

Division of Colorectal Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China.

Background: Intersphincter resection (ISR) is considered to be a superior technique offering sphincter preservation in patients with ultralow rectal cancer.1 Because high-definition laparoscopy offers wider and clearer vision into the narrow pelvic cavity and intersphincteric space, ISR has been further refined.2 However, functional outcome after ISR has not been optimal. Read More

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Laparoscopic posterior rectopexy (Well's procedure) for full-thickness rectal prolapse following laparoscopic repair of an anorectal malformation: A case report.

Int J Surg Case Rep 2018 13;42:187-190. Epub 2017 Dec 13.

Department of Paediatric and Adolescent Surgery, Medical University of Graz, Graz, Austria.

Introduction: Intractable full-thickness rectal prolapse (IRP) unresponsive to conservative treatment remains a major problem after anorectoplasty for high or intermediate anorectal malformation (ARM). Surgical management must aim for a permanent fixation of the rectum to the presacral fascia. While in children with IRP following ARM repair the optimal procedure has not been established yet, laparoscopic posterior mesh-rectopexy (Well's procedure) has demonstrated efficacy in adults. Read More

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December 2017

Minimally Invasive Surgery in the Management of Anorectal Malformations.

Clin Perinatol 2017 12;44(4):819-834

Department of Pediatric Surgery, Women and Children's Hospital of Buffalo, 219 Bryant Street, Buffalo, NY 14222, USA; Department of Surgery, State University of New York, University at Buffalo, 3435 Main Street, Buffalo, NY 14214, USA. Electronic address:

Imperforate anus, a variant of anorectal malformation (ARM), is a common congenital anomaly requiring surgical attention in the newborn period. It may present with a variety of anatomic configurations, largely dependent on the presence and location of a fistula. The location (or characteristics) of a fistula, which usually lies between the gastrointestinal tract and the genitourinary tract or perineum, is often used in determining the type and timing of operative management. Read More

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December 2017

The impact of three-dimensional reconstruction on laparoscopic-assisted surgery for right-sided colon cancer.

Wideochir Inne Tech Maloinwazyjne 2017 Sep 25;12(3):251-256. Epub 2017 May 25.

Department of Gastroenterological Surgery, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan.

Introduction: During laparoscopic-assisted colorectal surgery (LACS) for right-sided colon cancer patients, we performed three-dimensional (3D) surgical simulation to investigate vascular anatomy, including the ileocolic artery (ICA), right colic artery (RCA) and superior mesenteric vein (SMV).

Aim: We also used 3D imaging to examine the shortest distance from the root of the ileocolic vein (ICV) to the gastrocolic trunk (GCT).

Material And Methods: We analyzed 46 right-sided colon cancer patients who underwent 3D-simulated LACS. Read More

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September 2017

Safety and Feasibility of a Laparoscopy-Assisted Non-Anatomic Resection Technique for Hepatocellular Carcinoma Located at Right Posterior Segments in Cirrhotic Patients: A Case-Controlled Study with Propensity Score Matching.

Dig Surg 2018 12;35(5):411-418. Epub 2017 Sep 12.

Purpose: The aim of this study was to compare the short- and long-term outcomes of laparoscopy-assisted resection for right posterior segment (LAR-RPS) with open resection (OR-RPS) performed by experienced hepatobiliary surgeons.

Methods: This was a prospective comparative nonrandomized study.

Results: The groups were comparable in terms of baseline demographics and clinicopathological data. Read More

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December 2018

Post-operative strictures in anorectal malformation: trends over 15 years.

Pediatr Surg Int 2017 Aug 14;33(8):869-873. Epub 2017 Jun 14.

Royal London Hospital, Whitechapel Road, London, E1 1BB, UK.

Aim: For decades, paediatric surgeons have employed the standard posterior sagittal anorectoplasty (PSARP) approach to deal with patients with anorectal malformations (ARM). In recent years, we noted an apparent increase in the incidence of anal stricture after surgical repair of ARM following the introduction of laparoscopic pull-through and techniques aiming to preserve the internal sphincter-the internal sphincter sparing approach (ISSA). We decided to analyse our data to find out if these new trends had added to the problem of post-operative strictures. Read More

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Laparoscopic-assisted Anorectoplasty: A Single-center Experience.

J Indian Assoc Pediatr Surg 2017 Apr-Jun;22(2):114-118

Department of Paediatric Surgery, Coimbatore Medical College Hospital, Coimbatore, Tamil Nadu, India.

Aim: To assess the modifications in the technique of laparoscopic-assisted anorectal pull-through (LAARP) practiced at our institute and to analyze the postoperative outcome and associated complications.

Materials And Methods: A retrospective study was done to analyze the results for LAARP procedure done for high anorectal malformations (ARMs) from January 2001 to May 2016. A total of 68 patients had undergone LAARP, with 62 male and 6 female children. Read More

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