Niwa Naoya, Yanaihara Hitoshi, Nakahira Yoko, Hanashima Fuminari, Horinaga Minoru, Asakura Hirotaka
The Department of Urology, Saitama Medical University.
Nihon Hinyokika Gakkai Zasshi. 2013 Jan;104(1):12-6. doi: 10.5980/jpnjurol.104.12.
A 18-year-old man presented with fever and periumbilical nodule. Computed tomography (CT) showed complicated abscess of urachal remnant and laparoscopic surgery was performed transperitoneally via 3 ports. Laparoscopic excision of urachal remnant was first demonstrated in 1992 by Neufung et al, and in Japan first case was reported in 1998 by Ohmori et al. Some cases of laparoscopic surgery for urachal remnant were reported, but the surgical techniques, including port configuration, have not been standardized. In this case, we performed laparoscopic surgery with camera port in the umbilicus and two working ports in the bilateral positions. Our port configuration may be promising in ensuring good viewing during surgery and excising urachal remnant completely including umbilicus.
一名18岁男性因发热和脐周结节就诊。计算机断层扫描（CT）显示脐尿管残余物并发脓肿，遂经3个端口经腹腔进行了腹腔镜手术。1992年Neufung等人首次展示了腹腔镜切除脐尿管残余物，1998年Ohmori等人在日本报道了首例。虽然有一些关于腹腔镜手术治疗脐尿管残余物的病例报道，但包括端口配置在内的手术技术尚未标准化。在本病例中，我们在脐部设置摄像端口，在双侧设置两个操作端口进行腹腔镜手术。我们的端口配置在确保手术过程中良好视野以及完整切除包括脐部在内的脐尿管残余物方面可能很有前景。
