Laparoscopic Excision of Urachal Cyst in Pediatric Age: Report of Three Cases and Review of the Literature

Objective: To determine the role of laparoscopic surgery in the treatment of pediatric urachal disorders. Methods: Case reports and a literature review of laparoscopic excision of urachal remnants. Results: In a five-year period, three children were diagnosed with urachal anomalies presenting as abdominal or urinary symptoms, and were treated by laparoscopic surgery. The average age was 8.3 years (range, 4-13), and there were two girls and one boy. Mean operative time was 90 minutes (range, 60-120), and there were no postoperative complications. The three patients were all discharged by postoperative day four. Conclusion: Laparoscopy is an effective and safe minimally invasive technique in the management of pediatric urachal anomalies. It is effective even in cases of infected urachal cysts.