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Laparoscopic surgery for urachal remnants in pubescent children: a case series

BACKGROUND: Various techniques are applied in laparoscopic surgery for the treatment of urachal remnants, which are less invasive and associated with lower morbidity. We herein report a case series in which we treated urachal remnants and medial umbilical ligaments using a laparoscopic approach. CAS...

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Autores principales: Hashizume, Naoki, Ohtaki, Masahiro, Nihei, Kouei, Sakamoto, Kaoru, Shirahata, Yasuhiro, Shimada, Tetsuya, Ohta, Eriko, Yamai, Daisuke, Takeshi, Akihiro, Sato, Kaito, Suzuki, Satoshi, Yagi, Minoru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7266900/
https://www.ncbi.nlm.nih.gov/pubmed/32488465
http://dx.doi.org/10.1186/s40792-020-00884-z
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author Hashizume, Naoki
Ohtaki, Masahiro
Nihei, Kouei
Sakamoto, Kaoru
Shirahata, Yasuhiro
Shimada, Tetsuya
Ohta, Eriko
Yamai, Daisuke
Takeshi, Akihiro
Sato, Kaito
Suzuki, Satoshi
Yagi, Minoru
author_facet Hashizume, Naoki
Ohtaki, Masahiro
Nihei, Kouei
Sakamoto, Kaoru
Shirahata, Yasuhiro
Shimada, Tetsuya
Ohta, Eriko
Yamai, Daisuke
Takeshi, Akihiro
Sato, Kaito
Suzuki, Satoshi
Yagi, Minoru
author_sort Hashizume, Naoki
collection PubMed
description BACKGROUND: Various techniques are applied in laparoscopic surgery for the treatment of urachal remnants, which are less invasive and associated with lower morbidity. We herein report a case series in which we treated urachal remnants and medial umbilical ligaments using a laparoscopic approach. CASE PRESENTATION: From 2015 to 2019, seven patients (male, n = 5; female, n = 2) with a urachal remnant were treated by laparoscopic surgery in our institute. Five boys and two girls with a median age of 11 years (range 10–15 years) were enrolled in this series. The clinical results of laparoscopic treatment, the perioperative records, and the pathologic results were evaluated. The operation was performed with the use of three ports and an EZ access® (Hakko Medical, Nagano, Japan), which is a silicon cap for the wound retractor (Lap Protector®, Hakko Medical, Nagano, Japan). The removal of the urachal remnant and medial umbilical ligaments was completed with a median operative time of 92 min (range 69–128). The median hospital stay after surgery was 4 days (range 2–5). No patients developed intra-postoperative complications or recurrence. CONCLUSIONS: Although our data are preliminary, complete laparoscopic removal of symptomatic urachal remnants and medial umbilical ligaments was a safe and effective minimally invasive approach, with better cosmetic outcomes.
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spelling pubmed-72669002020-06-15 Laparoscopic surgery for urachal remnants in pubescent children: a case series Hashizume, Naoki Ohtaki, Masahiro Nihei, Kouei Sakamoto, Kaoru Shirahata, Yasuhiro Shimada, Tetsuya Ohta, Eriko Yamai, Daisuke Takeshi, Akihiro Sato, Kaito Suzuki, Satoshi Yagi, Minoru Surg Case Rep Case Report BACKGROUND: Various techniques are applied in laparoscopic surgery for the treatment of urachal remnants, which are less invasive and associated with lower morbidity. We herein report a case series in which we treated urachal remnants and medial umbilical ligaments using a laparoscopic approach. CASE PRESENTATION: From 2015 to 2019, seven patients (male, n = 5; female, n = 2) with a urachal remnant were treated by laparoscopic surgery in our institute. Five boys and two girls with a median age of 11 years (range 10–15 years) were enrolled in this series. The clinical results of laparoscopic treatment, the perioperative records, and the pathologic results were evaluated. The operation was performed with the use of three ports and an EZ access® (Hakko Medical, Nagano, Japan), which is a silicon cap for the wound retractor (Lap Protector®, Hakko Medical, Nagano, Japan). The removal of the urachal remnant and medial umbilical ligaments was completed with a median operative time of 92 min (range 69–128). The median hospital stay after surgery was 4 days (range 2–5). No patients developed intra-postoperative complications or recurrence. CONCLUSIONS: Although our data are preliminary, complete laparoscopic removal of symptomatic urachal remnants and medial umbilical ligaments was a safe and effective minimally invasive approach, with better cosmetic outcomes. Springer Berlin Heidelberg 2020-06-01 /pmc/articles/PMC7266900/ /pubmed/32488465 http://dx.doi.org/10.1186/s40792-020-00884-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Hashizume, Naoki
Ohtaki, Masahiro
Nihei, Kouei
Sakamoto, Kaoru
Shirahata, Yasuhiro
Shimada, Tetsuya
Ohta, Eriko
Yamai, Daisuke
Takeshi, Akihiro
Sato, Kaito
Suzuki, Satoshi
Yagi, Minoru
Laparoscopic surgery for urachal remnants in pubescent children: a case series
title Laparoscopic surgery for urachal remnants in pubescent children: a case series
title_full Laparoscopic surgery for urachal remnants in pubescent children: a case series
title_fullStr Laparoscopic surgery for urachal remnants in pubescent children: a case series
title_full_unstemmed Laparoscopic surgery for urachal remnants in pubescent children: a case series
title_short Laparoscopic surgery for urachal remnants in pubescent children: a case series
title_sort laparoscopic surgery for urachal remnants in pubescent children: a case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7266900/
https://www.ncbi.nlm.nih.gov/pubmed/32488465
http://dx.doi.org/10.1186/s40792-020-00884-z
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