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1 临床资料 患者,男,29岁,于2月前无明显诱因脐部出现渗液,开始为血性、后逐渐变为尿臭样渗液,量多,以脐尿管瘘收住院。查体:腹平软,未触及包块,脐部潮湿,有尿臭样气味,脐部可见2mm瘘口有粘膜覆盖,经瘘口注入20％泛影可见10cm瘘管与膀胱相通。在全麻下行腹腔镜脐尿管瘘切除术,各穿刺点为:A点考虑脐部进腹腔镜距脐尿管太近,影响视野,故选择脐偏右5cm、10mm套管,为腹腔镜的进出孔;B
1 Clinical data Patients, male, 29 years old, no obvious incentive in February before umbilical exudate, began to bloody, and later gradually become urine stinky exudate, the amount of more to the hospital with urachalcus fistula. Physical examination: abdominal soft, did not touch the mass, umbilical wet, smell of urine stinks, umbilical visible mucosal coverage of 2mm fistula, 20% implanted through the fistula uterus visible 10cm fistula and bladder interlinked. Laparoscopic urethral fistula resection under general anesthesia, the puncture point: A point to consider the umbilical cord into the laparoscopic too close to the urachus, affecting visual field, so choose the right umbilical 5cm, 10mm cannula for laparoscopy Of the access hole; B