腹腔镜手术治疗脐尿管瘘15例报告  

Laparoscopy for Treatment of Urachal Fistula:Report of 15 Cases

作　　者：张达[1] 向国安[1] 陈开运[1] 王汉宁[1] 肖金丰[1] 余智涛[1] 何葵[2] 

机构地区：[1]南华大学教学医院广东省第二人民医院微创中心,广州510317 [2]南华大学附属第二医院普外科,衡阳421001

出　　处：《中国微创外科杂志》2008年第7期631-632,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨腹腔镜治疗脐尿管瘘的有效性和优越性。方法2003年1月～2007年3月,对15例脐尿管瘘采用腹腔镜下切除脐尿管。腹部取3个穿刺点入路,超声刀游离出脐尿管,在脐根部和膀胱顶部均用Hem-o-lok夹闭后切断,取出,送快速冰冻检查。结果15例均顺利完成腹腔镜手术,无中转开腹。手术时间20～50min,平均30min。术中出血10～20ml。术后住院2～4d,平均3d。12例随访2～50个月,平均25.3月,未发现感染、复发、癌变。结论腹腔镜手术治疗脐尿管瘘切实可行,且具有操作简便、创伤小、康复快、腹部美观等优点。Objective To study the efficacy and superiority of laparoscopy for the treatment of urachal fistula. Methods From January 2003 to March 2007, 15 patients with urachal fistula received resection of the urachus in our hospital by laparoscopy with three trocar technique. The urachus was resected by clipping both the ends with Hem-o-lok and then cutting by ultrasonic scalpel. Frozen section examination of the resccted tissues were carried out during the surgery. Results All the operations were completed under a laparoscope without conversions to open surgery. The operation time ranged from 25 to 50 minutes （mean, 30 minutes）. The intraoperative blood loss was 10 to 20 ml. The patients were discharged form hospital 2 to 4 days after the operation （mean, 3 days）. Among our cases, 12 achieved a mean of 25.3 months follow-up （2 to 50 months）, during this period none of them developed infections, reeurrence, or carcinomatous changes. Conclusions Laparoscopy is feasible for urachal fistula. The method is simple and minimal invasive with good cosmetic outcomes and results in quick recovery.

关 键 词：腹腔镜 脐尿管瘘 

分 类 号：R699[医药卫生—泌尿科学]