Contrivances of Operative Procedure in Laparoscopic Single-site Surgery for Urachal Remnants

Abstract

Urachal remnant can repeatedly recur, where we must consider surgical resection. On the other hand, urachal remnant commonly affects juvenile people whose surgeries need to provide them both radical and cosmetic outcomes. In Japan, laparoscopic excision of the urachus aiming for a more cosmetic and less-invasive approach has been covered by the health insurance and becomes the standard surgical procedure. However, this procedure that uses three ports cannot be satisfactory from a cosmetic viewpoint. Recently, we have sometimes encountered reports on single incision laparoscopic site surgery for urachus excision seeking for further improved cosmetic outcomes. However, it is the current status that no procedures for umbilicus incision and umbilicoplasty have been standardized.

This paper introduces how we cope with contriving procedures for umbilicus incision as well as urachus excision in the single incision laparoscopic site surgery.