探讨腹腔镜治疗儿童脐尿管囊肿的治疗方法及效果。

回顾分析自2011年3月至2017年9月在山东大学齐鲁儿童医院外科腹腔镜治疗儿童脐尿管囊肿的15例临床资料；其中脐尿管近端囊肿3例、脐尿管远端囊肿9例、脐尿管中部的囊肿3例，囊肿中合并脐窦1例、合并脐肠瘘1例。根据囊肿不同的分布位置以及合并畸形采用不同的手术方式。

本组患儿手术全部顺利完成，术中无手术并发症，术后出现1例脐部感染、1例残余膀胱顶囊肿组织，经再次手术治愈。

腹腔镜脐尿管囊肿切除术，是种安全可行的手术。术者需要紧密结合术前影像学资料，根据囊肿的部位合理的安排布孔位置，术中充分了解病变的范围，完整切除病变组织是手术成功的关键。

To evaluate the efficacy and approach of the laparoscopic excision of urachal cysts.

The clinical data of 15 patients with urachal cysts, from Mar.2011 to Sep.2017 in Qilu Children′s Hospital of Shandong Univercity were analyzed retrospectively.All of the 15 patients underwent laparoscopic resection.Included that 3 cases at the proximal end of the urachus, 9 cases at the distal end of the urachus, 3 cases at the middle of the urachus .1 case with urachal-umbilical sinus, 1 case with umbilical enteric fistula. Different surgical methods are adopted according to location of the cyst.

Each case was successfully completed, no intraoperative complications were noted. There were 2 postoperative complications, 1 cases occurred umbilical infection, 1 cases occurred remnant cyst tissue which was cured by second laparoscopic surgery.

Laparoscopic technique can be used safely and effectively to remove urachal cysts. The operator needs to closely integrate preoperative imaging data, arrange the location of the trocars according to the location of the cyst, complete resection is the key to the operation.