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Gaceta Médica Boliviana

On-line version ISSN 1012-2966


VARGAS-ROCHA, Vladimir E.  and  SEGALES-ROJAS, Patricia.   Laparoscopic resection of uraco adenocarcinoma. Gac Med Bol [online]. 2020, vol.43, n.2, pp.223-227. ISSN 1012-2966.

Urachal adenocarcinoma is a rare tumor entity, an average incidence of 1 case per 5 million inhabitants is described. Clinically it manifests with hematuria (73%), abdominal pain (14%), dysuria (13%), mucosuria (10%), irritative symptoms (40%), palpable mass in the lower abdomen (17% ), bacteriuria (8%), umbilical mucosal flow (2%). We present the case of a 45-year-old patient with a diagnosis of urachal adenocarcinoma, who received multiple treatments without response, performing radical surgery with en bloc resection of the umbilicus, urachus, peritoneum, posterior fascia of the rectus abdominis muscle and partial cystectomy. by laparoscopic approach, with excellent oncological and aesthetic results, with fast recovery, and without complications. The role of chemotherapy and radiation therapy and their benefit to the patient is still unclear. With this case we want to contribute a new case to the literature, in addition to being able to show that minimally invasive management can be adequate in expert hands, with results equal to open surgery, with the already known benefit of the laparoscopic approach.

Keywords : Urachus; Carcinoma; Bladder neoplasms.

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