通过腹腔镜手段完全切除脐尿管囊肿：一种针对罕见病症的新方法。
Complete excision of urachal cyst by laparoscopic means: a new approach to an uncommon disorder.
作者信息
Castillo Octavio A, Vitagliano Gonzalo, Olivares Ruben, Sanchez-Salas Rafael
机构信息
Santa Maria and Department of Urology, School of Medicine, Universidad de Chile, Santiago de Chile.
出版信息
Arch Esp Urol. 2007 Jun;60(5):607-11. doi: 10.4321/s0004-06142007000500020.
OBJECTIVE
Anomalies of the urachal remnant are rare. Urachal cysts are usually asymptomatic, however, when they become infected, they can mimic a wide variety of intra-abdominal pathologies. We present two patients in which an urachal cyst was found.
METHODS
Two male patients 25 and 38 years old respectively underwent laparoscopic resection of an urachal remnant. In one of the cases the urachal remnant was complicated by infection. Opportune clinical and radiologic diagnose was made in both cases and complete excision of the urachal remnant was carried out by laparoscopic means.
RESULTS
The procedures were performed without complications and follow up showed excellent results. Both patients presented very short convalescence with rapid recovery.
CONCLUSIONS
The treatment of choice for urachal pathology is the complete excision of the complicated lesion. For this matter laparoscopic surgery assures surgical results comparable to conventional surgery adding the advantages of a minimally invasive approach.
目的
脐尿管残余异常罕见。脐尿管囊肿通常无症状，然而，当它们发生感染时，可类似多种腹腔内病变。我们报告两例发现脐尿管囊肿的患者。
方法
两名分别为25岁和38岁的男性患者接受了脐尿管残余的腹腔镜切除术。其中1例脐尿管残余合并感染。两例均进行了适时的临床和影像学诊断，并通过腹腔镜方法完整切除脐尿管残余。
结果
手术均无并发症，随访显示效果良好。两名患者康复期均很短，恢复迅速。
结论
脐尿管病变的首选治疗方法是完整切除复杂病变。就此而言，腹腔镜手术确保了与传统手术相当的手术效果，并增加了微创方法的优势。
Zotero 插件