J Korean Surg Soc.  2010 Apr;78(4):267-269. 10.4174/jkss.2010.78.4.267.

Laparoscopic Extraperitoneal Resection of Urachal Cyst

• Lee SI
• Kim SS
• Moon HY

• KMID: 1750742
• DOI: http://doi.org/10.4174/jkss.2010.78.4.267

Abstract

Remnant urachal cyst is a rare anomaly with an incidence of 1:5,000 and the majority are benign. The treatment of urachal cyst is complete surgical resection, and the cases of laparoscopic surgery for the resection have been reported since 1993. Most of the reports were about transabdominal laparoscopic approach, and it has been revealed that multiple skin incisions and trocar placements on upper abdomen were ineludible. With this condition, we are able to describe an extraperitoneal approach modified from total extraperitoneal herniorrhaphy, and to report a case of successful management of a urachal cyst by total extraperitoneal laparoscopic excision.

Keyword

Urachal cyst; Laparoscopy; Extraperitoneal

MeSH Terms

Abdomen
Herniorrhaphy
Incidence
Laparoscopy
Skin
Surgical Instruments
Urachal Cyst

Figure

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  Fig. 1 Urachal cyst at its attachment on bladder during preperitoneal dissection.

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  Fig. 2 Urachal cyst was extracted through the infraumbilical incision for camera port before dividing umbilical attachment (1: suprapubic port, 2: urachal cyst, 3: infraumbilical port incision, and 4: umbilicus).

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  Fig. 3 Epithelial lined urachal cyst was surrounded by loose connective tissue. H&E, reduced from ×200.

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