Urology reports (St. - Petersburg)Urology reports (St. - Petersburg)Урологические ведомостиUrology reports (St. - Petersburg)2225-90742687-1416Eco-Vector6199510.17816/uroved61995ReviewsНаучные обзорыReviewsReview ArticlePathology of the urachus. History of the issue and current state of the problemПатология урахуса. История вопроса и современное состояние проблемыhttps://orcid.org/0000-0002-0686-04457354-7379ShchedrovDmitriy N.ЩедровДмитрий Николаевич
Russian Federation

Dr. Sci. (Med.), Head of the Pediatric Urology and Andrology Unit

доктор медицинских наук, заведующий отделением детской урологии и андрологии

shedrov.dmitry@yandex.ruhttps://orcid.org/0000-0002-2062-042165070850297772-8420ShormanovIgor S.ШормановИгорь Сергеевич
Russian Federation

Dr. Sci. (Med.), Professor, Head of the Department of Urology with Nephrology

доктор медицинских наук, профессор, заведующий кафедрой урологии с нефрологией

i-s-shormanov@yandex.ruhttps://orcid.org/0000-0002-8706-73174410-2226KotovSergey V.КотовСергей Владиславович
Russian Federation

Dr. Sci. (Med.), Professor, Head of the Department of Urology and Andrology, Head of the University Urological Clinic

доктор медицинских наук, профессор, заведующий кафедрой урологии и андрологии, руководитель университетской урологической клиники

wasker93@yandex.ruhttps://orcid.org/0000-0003-3451-54948824-5330MorozovEugene V.МорозовЕвгений Владимирович
Russian Federation

Pediatric surgeon, Department of Pediatric Surgery

Врач-детский хирург, отделение детской хирургии

wasker93@gmail.comRegional Pediatric Clinical HospitalОбластная детская клиническая больницаYaroslavl State Medical UniversityЯрославский государственный медицинский университетPirogov Russian National Research Medical UniversityРоссийский национальный исследовательский медицинский университет им. Н.И. Пирогова23062021180820211121411522602202123062021Copyright ©; 2021, Eco-VectorCopyright ©; 2021, ООО «Эко-Вектор»Copyright ©; 2021, Morozov E., Shchedrov D., Shormanov I., Kotov S.2021Eco-VectorООО «Эко-Вектор»Morozov E., Shchedrov D., Shormanov I., Kotov S.https://journals.eco-vector.com/uroved/article/view/61995

Based on the analysis of literature sources, modern data are presented on the nosological structure of urachus diseases in adults and children, diagnostic methods, as well as treatment tactics for various anatomical variants of anomalies in the development of the urinary duct. A modern classification of urachal malformations caused by disorders of its obliteration is presented. Various modifications of the laparoscopic approach are considered for the most common types of this pathology. The reasons for the development of malignant neoplasms from the urachus tissue, including in the gender aspect, are described, and a comparative assessment of the methods of surgical treatment of urachus tumors is given.

На основании анализа литературных источников приведены современные данные относительно нозологической структуры заболеваний урахуса у взрослых и детей, методов диагностики, а также лечебной тактики при различных анатомических вариантах аномалий развития мочевого протока. Представлена современная классификация пороков развития урахуса, обусловленных нарушениями его облитерации. Рассмотрены различные модификации лапароскопического доступа при наиболее распространенных видах указанной патологии. Описаны причины развития злокачественных новообразований из урахальной ткани, в том числе в гендерном аспекте, а также дана сравнительная оценка методов хирургического лечения пациентов с опухолями урахуса.

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