小儿腹腔镜下脐尿管囊肿切除术：三例报告并文献复习
Laparoscopic excision of urachal cyst in pediatric age: report of three cases and review of the literature.
作者信息
Chiarenza Salvatore Fabio, Scarpa Maria Grazia, D'Agostino Sergio, Fabbro Maria Angelica, Novek Steven J, Musi Luciano
机构信息
Department of Pediatric Surgery, S. Bortolo Hospital Vicenza, Vicenza, Italy.
出版信息
J Laparoendosc Adv Surg Tech A. 2009 Apr;19 Suppl 1:S183-6. doi: 10.1089/lap.2008.0184.supp.
OBJECTIVE
To determine the role of laparoscopic surgery in the treatment of pediatric urachal disorders.
METHODS
Case reports and a literature review of laparoscopic excision of urachal remnants.
RESULTS
In a five-year period, three children were diagnosed with urachal anomalies presenting as abdominal or urinary symptoms, and were treated by laparoscopic surgery. The average age was 8.3 years (range, 4-13),and there were two girls and one boy. Mean operative time was 90 minutes (range, 60-120), and there were nopostoperative complications. The three patients were all discharged by postoperative day four.
CONCLUSION
Laparoscopy is an effective and safe minimally invasive technique in the management of pediatricurachal anomalies. It is effective even in cases of infected urachal cysts.
目的
确定腹腔镜手术在小儿脐尿管疾病治疗中的作用。
方法
病例报告及腹腔镜切除脐尿管残余物的文献综述。
结果
在五年期间，三名儿童被诊断为脐尿管异常，表现为腹部或泌尿系统症状，并接受了腹腔镜手术治疗。平均年龄为8.3岁（范围4 - 13岁），其中两名女孩，一名男孩。平均手术时间为90分钟（范围60 - 120分钟），无术后并发症。三名患者均在术后第四天出院。
结论
腹腔镜检查是治疗小儿脐尿管异常的一种有效且安全的微创技术。即使在感染性脐尿管囊肿的病例中也有效。
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