Laparoscopic En Bloc Resection of the Urachus and Bladder Dome in an Urachus Adenocarcinoma

Abstract

Urachal carcinoma is a rare malignancy with a poor prognosis. Surgical options for treating urachal adenocarcima include radical cystectomy and an en bloc partial cystectomy with excision of the urachus and umbilectomy. Laparoscopic approach is a less invasive alternative to open partial cystectomy. We report a 42 years old man case with a history of 12 years of mucinuria. Clinical investigations reveal an 11 x 5, 3 x 5 cm size supravesical midline cyst. We performed a laparoscopic resection of the mass. The procedure was successful with an en bloc resection of the mass. Histological examination reveals a well differentiated mucine tubulo-papilar adenocarcinoma. Surgical margins were negative. No local or distant recurrences were observed at three years follow up.