Laparoscopic management of urachal cyst: A review of 5 cases and comparision with open approach

Wayne S.W. Huang, MD, Dev-Aur Chou, MD, Hurng-Sheng Wu, MD

Department of General Surgery1, Chang Bing Show Chwan Memorial Hospital,Changhua,Taiwan Department of General Surgery2, Show Chwan Memorial Hospital,Changhua,Taiwan

Purpose:
Urachal remnant is an uncommon congenital anomaly. Surgical treatment consists of the resection of the urachus throughout its entire length from the umbilicus to the bladder. We evaluated our experience of 5 cases of laparoscopic resection of urachus, and compared it to our previous experience of traditional open approach.

Materials and Methods:
5 patients with urachal anomaly were laparoscopic managed, compared with 15 cases of traditional surgical management. 3 port technique were used, with one above the umbilicus and 2 on either side of the abdomen. We evaluated the perioperative records to assess morbidity and outcome.

Results:
The average operative time was 95 minutes for laparoscopic urachal resection, and 92.5 for open. No operative complications were associated with the laparoscopic technique. The average hospital stay was 2.5 days for laparoscopic, and 9.6 for open management. One case of wound infection was noted in the laparoscopic group, but no other perioperative morbidity or recurrence was found.

Conclusion:
Minimally invasive surgery is a safe and effective procedure for the management of urachal anomaly, providing access to ts entire length without a long scar. It also provides shorter hospital stay and less wound complications.

Session: Poster Presentation

Program Number: P564