Kim Tong Wook, Chung Hong, Yang Sang Kuk, Lee Tae Ui, Woo Seung Hyo, Kim Hong Sup
Department of Urology, Konkuk University Chung-ju Hospital, Gyohyeon 2-dong, Chungju, Korea.
J Korean Med Sci. 2006 Apr;21(2):361-4. doi: 10.3346/jkms.2006.21.2.361.
A few cases of laparoscopic surgery for urachal remnant in children has been reported in English literature. With recent developments in minimal invasive surgery, laparoscopic approach for urachal remnant in adulthood is recommended by some laparoscopic surgeons because of its technical feasibility and safety as well as cosmesis. Recently we experienced a case of complicated urachal remnant in a 14-month-old girl, who was managed by laparoscopic approach. At presentation, she complained of high fever and lower urinary tract symptoms. After 6 weeks of antibiotics therapy, laparoscopic surgery was performed transperitoneally via 3 ports. Our experience suggests that laparoscopic excision of urachal remnant can be performed easily and safely in children.
英文文献中已报道了几例儿童脐尿管残余物的腹腔镜手术病例。随着微创手术的最新进展，一些腹腔镜外科医生推荐对成年患者的脐尿管残余物采用腹腔镜手术方法，因为其具有技术可行性、安全性以及美观性。最近，我们遇到了一名14个月大的女童，患有复杂的脐尿管残余物，通过腹腔镜手术方法进行了治疗。就诊时，她主诉高热和下尿路症状。经过6周的抗生素治疗后，通过3个端口经腹腔进行了腹腔镜手术。我们的经验表明，儿童脐尿管残余物的腹腔镜切除术可以轻松、安全地进行。
