腹膜外途径腹腔镜脐尿管囊肿切除术3例报告并文献复习

doi:10.19558/j.cnki.10-1020/r.2021.04.006

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摘要 目的: 探讨完全经腹膜外途径腹腔镜脐尿管切除术治疗脐尿管囊肿的应用价值。方法: 分析2020年1月–2020年6月收治的脐尿管囊肿和脓肿患者的临床资料。其中采用腹膜外途径腹腔镜下脐尿管切除术完成手术的患者共3例,术中将脐尿管全长连同部分顶部膀胱壁完整切除,使用2-0可吸收线连续缝合关闭膀胱裂口。结果: 3例手术均在腹腔镜下完成,无中转开放。平均手术时间为61 min（35~89 min）,平均失血量为77 mL（30~150 mL）,平均住院时间为4.7 d（3~7 d）,术后随访6个月无并发症。结论: 完全经腹膜外途径腹腔镜脐尿管切除术治疗脐尿管囊肿是一种安全可行的方法。

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	尹心宝
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	王科

关键词 ：脐尿管囊肿, 腹腔镜, 腹膜外途径

Abstract：Objective: To explore the safety and efficacy of total extraperitoneal laparoscopic resection of urachus in the treatment of urachal cysts. Methods： We retrospectively analyzed patients with urachal cysts and abscesses who were hospitalized in our hospital from January 2020 to June 2020. A total of 3 cases underwent extraperitoneal laparoscopic resection of the urachus. The full length of the urachus and part of the top bladder wall were completely removed, and the integrity of the bladder was achieved using a series of continuous sutures with 2-0 absorbable suture. Results： All three operations were successfully carried out under laparoscopy and no case was converted to open surgery. The operation time was between 35 and 89 min （mean 61 min）. The average blood loss was 77 mL with a range of 30-150 mL. The mean hospital stay was 4.7 days （range 3-7 days）, and no complication was found during a median follow-up of 6 months. Conclusion： Total extraperitoneal laparoscopic urachal resection is a safe, feasible, and effective technique.

Key words： urachal cyst laparoscopy extraperitoneal approach

收稿日期: 2021-04-17

通讯作者: 王科,wangke6910@sina.com

引用本文:

尹心宝, 赵凯, 张宗亮, 李雪禹, 隋元明, 朱冠群, 王科. 腹膜外途径腹腔镜脐尿管囊肿切除术3例报告并文献复习[J]. 微创泌尿外科杂志, 2021, 10(4): 242-246.
YIN Xinbao, ZHAO Kai, ZHANG Zongliang, LI Xueyu, SUI Yuanming, ZHU Guanqun, WANG Ke. Extraperitoneal laparoscopic urachal cysts: 3 cases report and literature review. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2021, 10(4): 242-246.

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[1] BUDDHA S, MENIAS CO, KATABATHINA VS.Imaging of urachal anomalies. Abdom Radiol (NY), 2019,44(12):3978-3989.
[2] CHIARENZA SF, BLEVE C.Laparoscopic management of urachal cysts. Transl Pediatr, 2016,5(4):275-281.
[3] 冀金婵,唐少珊.脐尿管疾病的影像学表现.生物医学工程与临床, 2020,24(1):110-113.
[4] YOHANNES P, BRUNO T, PATHAN M, et al. Laparoscopic radical excision of urachal sinus. J Endourol, 2003,17(7):475-479; discussion 479.
[5] SREEPADMA S, RAO BR, RATKAL J, et al. A rare case of urachal sinus. J Clin Diagn Res, 2015,9(7):PD01-PD02.
[6] ARAKI M, SAIKA T, ARAKI D, et al.Laparoscopic management of complicated urachal remnants in adults. World J Urol, 2012,30(5):647-650.
[7] POTISEK N, WEIHE J.Infected urachal cyst. N Engl J Med, 2016,375(26):2582.
[8] NAIDITCH JA, RADHAKRISHNAN J, CHIN AC.Current diagnosis and management of urachal remnants. J Pediatr Surg, 2013,48(10):2148-2152.
[9] TRONDSEN E, REIERTSEN O, ROSSELAND AR.Laparoscopic excision of urachal sinus. Eur J Surg, 1993,159(2):127-128.
[10] SÁNCHEZ-ISMAYEL A, CRUZ-GONZÁLEZ G, SÁNCHEZ R, et al. [Laparoscopic management of symptomatic urachal anomalies] Actas Urol Esp, 2009,33(3):284-289.
[11] SIOW SL, MAHENDRAN H, HARDIN M.Laparoscopic management of symptomatic urachal remnants in adulthood. Asian J Surg, 2015,38(2):85-90.
[12] CALAGNA G, ROTOLO S, CATINELLA V, et al.Unexpected finding of urachal remnant cyst. Tips for laparoscopic approach. Int J Surg Case Rep, 2020,77S: S139-S142.
[13] WANG B, LI X, MING S, et al.Combined extraperitoneal and transperitoneal laparoscopic extended partial cystectomy for the treatment of urachal carcinoma. J Endourol, 2016,30(3):280-285.
[14] LEI Y, TONG S, ZU X, et al.Extraperitoneal and transperitoneal laparoscopic partial cystectomy for benign non-urothelial bladder tumors: an initial experience. Urol Int, 2015,94(2):149-155.
[15] HABUCHI T, MIYAKAWA M.Urachal cysts in the bladder wall. Br J Urol, 1990,65(6):658-659.
[16] 张宗亮,种丽强,赵凯,等.加速康复外科下经腹膜外3D腹腔镜膀胱全切回肠原位新膀胱术探索.现代泌尿外科杂志,2020,25(7):565-569.