Pediatric laparoscopic partial cystectomy for the treatment of benign bladder tumors and urachal cysts

Abstract

Objective To investigate the feasibility and efficacy of carrying out pediatric laparoscopic partial cystectomies (LPC) when treating benign bladder tumors and urachal cysts. Methods Retrospectivey analyzing 4 clinical cases involving children with bladder tumors, which were collected from October 2017 to December 2018. In these clinical cases, there were 3 male children and 1 female child, aged from 4.5 to 9.4 years old, with an average age of 6.5 years. An intraperitoneal laparoscopic partial cystectomy was performed in the treatment of 3 of these patients with benign bladder tumors and in 1 patient with an urachal cyst. The surgical procedures included a partial cystectomy and a complete intracavitary bladder suture. Results All 4 cases were successful and no operation was transferred to opensurgery. The operation time was 100–120 min, with an average time of 108 min. The intraoperative blood loss was 10–20 ml, with an average loss of 15 ml. 6 h after the operation, the patients still maintained a fluid diet and 1 case of hematuria had occurred, with the catheter removed 12 days after the operation. No postoperative urine leakage, intestinal adhesion or intestinal obstruction occurred, and the average postoperative hospitalization time was 14 days. Conclusion Laparoscopic partial cystectomy is a safe and feasible method to be used for the treatment of benign bladder tumors and urachal cysts. It presents the advantages of being minimally invasive, and having a quick recovery and short hospitalization time. It is an alternative surgical method for the treatment of pediatric benign bladder tumors.

Case Report: Intravesical and extravesical urachal cyst in children with lower abdominal pain and hematuria

“…On the other hand, other scholars argue that ( 10 ) surgical removal is clearly indicated for large or suspicious urachal lesions, regardless of symptoms. Laparoscopic surgery is a safe and feasible method, offering advantages such as a shorter hospital stay, quicker recovery, and less bleeding ( 11 ).…”

Intravesical urachal cyst masquerading as a bladder malignancy: a case report

“…Surgical excision is clearly indicated for large or suspicious urachal lesions, regardless of symptoms [ 16 ]. Cystoscopy-assisted laparoscopy is a feasible minimally invasive approach and has the advantages of rapid recovery and reduced blood loss [ 17 ].…”

Ein bemerkenswerter Fall: Eine atypisch gelegene Urachuszyste nach kontinenter Harnableitung mittels MAINZ-Pouch mit Appendixstoma

“…Bei einer Entartungsrate von bis zu 51-60% im Erwachsenenalter [2,3] sollte die chirurgische Entfernung von Urachusresten bei Diagnosestellung erfolgen. So werden sogar Teilzystektomien, sollte die Entfernung von Urachusresten diese erfordern, z. T. bereits bei Kindern durchgeführt [4].…”

“…Dies gilt ihrer Meinung auch bei unkomplizierten, klinisch inapparenten Erscheinungsformen. Dieser Strategie schließen sich auch andere Studien an [3,4].…”