Three Cases of Laparoscopic Resection of the Umbilical Urachal Remnant

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  • 尿膜管遺残症に対し腹腔鏡下切除を行った3例

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We report 3 cases of umbilical urachal sinus that were successfully treated by laparoscopic resection. A 22-year-old man, a 25-year-old man and a 21-year-old man presented to our hospital with clinical evidence of omphalitis. In all three cases, abdominal CT showed the findings of omphalitis and umbilical urachal remnants. After conservative treatment with antibiotics and drainage, we performed laparoscopic surgery using three ports. The first port was inserted via a Mc burney incision. We poured saline colored with indigo carmine into the bladder to visualize the confluence of the urachus and the bladder. The bladder side of the urachal remnant was interrupted twice by an intracorporeal knot-tying technique. We removed the umbilical urachal remnant completely, followed by umbilical plasty. The postoperative course was uneventful in all three cases and the hospital stay ranged from 4-6 days after the operation. Laparoscopic resection of the umbilical urachal remnant is useful as a less-invasive and cosmetically beneficial technique.

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