Laparoscopic management of complicated urachal disease in children.
OBJECTIVE
The laparoscopic approach to the complete excision of urachal abnormalities in adults has recently been advocated by some groups but little has been reported in the pediatric literature. We highlight the need for the complete removal of symptomatic urachal remnants as well as the feasibility of the laparoscopic approach in children.


METHODS
Four children 5 months, 4, 8 and 10 years old, respectively, who presented with complicated urachal disease underwent laparoscopic resection of urachal remnants. We describe the manner of presentation and surgical technique in these 4 cases.


RESULTS
Laparoscopic radical excision was successfully performed in all 4 cases with an uneventful convalescence.


CONCLUSIONS
Our experience suggests that laparoscopic excision of urachal remnants can be safely and satisfactorily performed in children of all ages.
D002648:Child; D002675:Child, Preschool; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007223:Infant; D010535:Laparoscopy; D008297:Male; D014497:Urachus / Q000002:abnormalities* / Q000601:surgery