Umbilical resection during laparoscopic surgery for urachal remnants

Abstract

We recommend that UR with LS be performed for urachal remnants to prevent any recurrent umbilical infection or malignant transformation in the future.

Laparoendoscopic single‐site surgery for urachal remnant with extraperitoneal approach through a suprapubic port

“…Regarding the extent of resection, Maemoto et al reviewed 210 cases of LAP‐U 22 and reported that 102 patients (48.6%) underwent umbilical resection (the wall of the fistula resection at the bottom of the umbilicus). The recurrence of periumbilical discharge has been reported to develop in cases without umbilical resection 15,19,22 . To prevent recurrence, we believe that umbilical resection and complete resection of inflammatory tissue are necessary.…”

“…However, it is difficult to find a minute lesion at the bladder dome, even if various imaging studies (cystoscopy, ultrasound, computed tomography and magnetic resonance imaging) are performed. In addition, Maemoto et al reported that epithelium was present in the resected UR tissue in four out of 14 and 44 out of 210 cases reviewed 22 . Therefore, we investigated the presence of epithelium in the muscle of the bladder dome.…”

“…LAP‐U was first reported in 1993, 3 and various LAP‐U port placement techniques have since been reported 14–22 . In 2010, Patrzyk et al first reported LESS‐U as a highly cosmetic and useful procedure 4 .…”

“…LAP-U was first reported in 1993, 3 and various LAP-U port placement techniques have since been reported. [14][15][16][17][18][19][20][21][22] In 2010, Patrzyk et al first reported LESS-U as a highly cosmetic and useful procedure. 4 Since Abbreviations: extra, extraperitoneal approach; intra, intraperitoneal approach; NS, not significant; spLESS, suprapubic laparoendoscopic single-site surgery; SSI, surgical site injury; uLESS, umbilical port laparoendoscopic single-site surgery.…”

“…For LAP-U, including LESS-U, the transperitoneal approach was selected in all cases that have been reported, [3][4][5][6][7][8][9][10][11][12][14][15][16][17][18][19][20][21][22] and there are no reports on the extraperitoneal approach. In the transperitoneal approach, a peritoneal defect during ureteral resection is inevitable, and complete closure by suturing the peritoneum is technically difficult.…”