Laparoscopic Treatment for Urachal Remnant – A Report of Two Cases

Roppei Yamada, MD PhD, Yasushi Rino, MD PhD, Norio Yukawa, MD PhD, Tsutomu Sato, MD, Hirohito Fujikawa, MD, Nobuhiro Sugano, MD, Koichiro Yamaoku, MD, Daisuke Inagaki, MD, Teni Godai, MD, Shinichi Hasegawa, MD PhD, Takashi Oshima, MD PhD, Munetaka Masuda, MD PhD. Department of Surgery, Yokohama City University School of Medicine


Objective: To report our experience with a laparoscopic approach to managing symptomatic urachal remnant. Patients and Methods: Two patients (19 year-old man and 23 year-old woman) had a laparoscopic excision of a complicated urachal remnant in 2011. Three ports were routinely used, although their positioning varied as our technique developed with experience. The urachal remnant was dissected from the umbilicus to the bladder dome and then removed intact. Results: All two operations had no complications and minimal blood loss (5ml and 10ml) with short duration of operation time (134min and 201min). Conclusions: The laparoscopic approach appears to be a safe and effective alternative to open surgery for this condition.The reduced morbidity of this procedure and better cosmetic result would appear advantageous.


Session Number: Poster – Poster Presentations
Program Number: P535
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