Laparoscopic Excision of Urachal Remnants

Accession number;05A0160477
Title;Laparoscopic Excision of Urachal Remnants
Author; YAGI MAKOTO (Kinki Univ., School of Medicine, JPN) NOSE KEISUKE (Kinki Univ., School of Medicine, JPN) YOSHIDA HIROSHI (Kinki Univ., School of Medicine, JPN) NOGAMI TAKASHI (Kinki Univ., School of Medicine, JPN) YOSHIDA HIDEKI (Kinki Univ., School of Medicine, JPN) SHIOZAKI HITOSHI (Kinki Univ., School of Medicine, JPN) OYANAGI HARUMASA (Kinki Univ., School of Medicine, JPN)
Journal Title;Japanese Journal of Pediatric Surgery
Journal Code:Z0323B
ISSN:0385-6313
VOL.37;NO.1;PAGE.75-79(2005)
Figure&Table&Reference;FIG.4, TBL.2, REF.15
Pub. Country;Japan
Language;Japanese
Abstract;The laparoscopic approach to the total excision of urachal remnants m adults has recently been reported by some authors, but a little has been done in pediatric patients. In this paper, we report the feasibility of laparoscopic urachal excision for pediatric and adult patients with urachal anomalies. Eleven patients who underwent laparoscopic resection of urachal remnants were analyzed retrospectively. The patients' ages ranged from 27 days to 34 years. The urachal diseases consisted of fistula in two, cyst in three, sinus in five, and bladder diverticulum in one. The operations were done with three-ports technique. A 45-degree scope provided a panoramic view of the whole operative field. The urachal remnants were excised completely. The obliterated urachal duct was mobilized towards the bladder and cut using laparoscopic coagulating shears or a diathermy hook. The edge was sutured or closed by rigation. The indwelling urinary catheters were removed 3 to 5 days after the operation. Laparoscopic radical excision was successfully performed in all 11 cases with an uneventful convalescence. Our experience suggests that laparoscopic excision of urachal remnants can be safe and feasible in children and adults, and an alternative to the traditional open surgery. (author abst.)
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