Clinical Effect of Single-Site Laparoscopy in the Treatment of Meckel's Diverticulum in Children
Journal of Surgery
Volume 8, Issue 1, February 2020, Pages: 34-37
Received: Feb. 16, 2020; Accepted: Feb. 24, 2020; Published: Mar. 2, 2020
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Authors
Chen Jiarong, Department of Pediatrics, Guangxi Maternal and Child Health Hospital, Nanning, P. R. China
Huang Jingjing, Department of Pediatrics, Guangxi Maternal and Child Health Hospital, Nanning, P. R. China
Shi Qunfeng, Department of Pediatrics, Guangxi Maternal and Child Health Hospital, Nanning, P. R. China
Zeng Danping, Department of Pediatrics, Guangxi Maternal and Child Health Hospital, Nanning, P. R. China
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Abstract
Purpose: To observe the clinical effect of laparoscopic surgery on Meckel's diverticulum in children with (MD). Method: The clinical data of 20 children were analyzed retrospectively. All children were treated with laparoscopic surgery at single part of the umbilical cord, and the operation, clinical effects and postoperative complications were observed. Result: All the 20 children completed the operation successfully, and the operation time was 50. 5%. 2 ±5. 4) there were no complications such as abdominal pain, abdominal distension, vomiting, bleeding, intestinal adhesion obstruction, intestinal stricture and intestinal anastomotic fistula during and after min,. During the follow-up of 1 ~ 26 months, all the children ate and defecated normally and there was no recurrence. Conclusion: Umbilical laparoscopy is effective in the treatment of pediatric MD with less trauma, simple operation, short operation time and quick recovery after operation. Background Meckel's diverticulum is the most common congenital developmental malformation of the gastrointestinal tract, which is a mesenteric malformation caused by embryonic yolk tube degeneration. The incidence in the population is 2.0%, most patients have no clinical symptoms, occasionally found in autopsy, laparotomy, clinical diagnosis is more difficult. The clinical manifestations of its complications are easy to be confused with other diseases such as intussusception, colonic polyps, necrotizing enteritis and acute appendicitis perforation. Date sources Based on the progress in the treatment of Meckel's diverticulum in children at home and abroad, the clinical data of 20 children with Meckel's diverticulum treated in our hospital were analyzed retrospectively to observe the clinical effect of laparoscopy-assisted operation in the treatment of Meckel's diverticulum in children. Results All the 20 children completed the operation successfully, and the operation time was 50. 5%. 2 ±5. 4) there were no complications such as abdominal pain, abdominal distension, vomiting, bleeding, intestinal adhesion obstruction, intestinal stricture and intestinal anastomotic fistula during and after min,. During the follow-up of 1 ~ 26 months, all the children ate and defecated normally and there was no recurrence. Conclusions Surgical resection is the first choice for symptomatic Meckel diverticulum in children, and laparoscopic surgery is the first choice. The operative method of laparoscopic treatment of Meckel diverticulum in children with single part of umbilical cord has the advantages of less trauma, simple operation, short operation time and quick recovery after operation, and the operative effect is good.
Keywords
Laparoscopy, Meckel's Diverticulum, Children, Single-part
To cite this article
Chen Jiarong, Huang Jingjing, Shi Qunfeng, Zeng Danping, Clinical Effect of Single-Site Laparoscopy in the Treatment of Meckel's Diverticulum in Children, Journal of Surgery. Vol. 8, No. 1, 2020, pp. 34-37. doi: 10.11648/j.js.20200801.17
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Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Mackey WC, Dineen P. A fifty year experience with Meckel′s diverticulum [J]. Surg Gynecol Obstet, 1983, 156 (1): 56-64.
[2]
St-Vil D, Brandt ML, Panic S, et al. Meckel′s diverticulum in children: a 20-year review [J]. J Pediatr Surg, 1991, 26 (11): 1289-1292.
[3]
Bubnjar J. Meckel′s diverticulitis in the early postoperative course after appendectomy [J]. Acta Med Croatica, 2013, 67 (1): 65-68.
[4]
She Yaxiong. Pediatric surgery [M]. Beijing: people's Health Publishing House, 1995: 136-137.
[5]
Blevrakis E, Partalis N, Seremeti C, et al. Meckel′s diverticulum in paediatric practice on Crete (Greece): a 10-year review [J]. Afr J Paediatr Surg, 2012, 8 (3): 279- 282.
[6]
Sinha CK, Pallewatte A, Easty M, et al. Meckel′s scan in children: a review of 183 cases referred to two paediatric surgery specialist centres over 18 years [J]. Pediatr Surg Int, 2013, 29 (5): 511- 517.
[7]
Menezes M, Tareen F, Saeed A, et al. Symptomatic Meckel′s diverticulum in children: a 16-year review [J]. Pediatr Surg Int, 2008, 24 (5): 575-577.
[8]
Rho JH, Kim JS, Kim SY, et al. Clinical Features of Symp- tomatic Meckel′s Diverticulum in Children: Comparison of Scintigraphic and Non-scintigraphic Diagnosis [J]. Pediatr Gastroenterol Hepatol Nutr, 2013, 16 (1): 41-48.
[9]
Pampal A, Aksakal ED. Littre hernia in childhood: a case report with a brief review of the literature [J]. Afr J Paediatr Surg, 2011, 8 (2): 221-224.
[10]
Rangarajan M, Palanivelu C, Senthilkumar R, et al. Laparo- scopic surgery for perforation of Meckel′s diverticulum [J]. Singapore Med J, 2007, 48 (4): e102-e105.
[11]
Sagar J, Kumar V, Shah DK. Meckel′s diverticulum: a systematic review [J]. J R Soc Med, 2006, 99 (10): 501-505.
[12]
Fu Xiuting, Wu Mingjun, Liu Ziwei, Liu Chang, Tian Ye. Value of Ultrosound in Diagnosis of Complications of Meckel's Diverticulum in Children [J]. Heilongjiang Medicine, 2019 (11): 1385.
[13]
Xu Wei, Deng Qingqiang, et al. Laparoscopic resection of Meckel's diverticulum in children with intraoperative frozen base ligation: a report of 43 cases. Jiangxi Medicine, 2016, 51 (12): 1306-1308.
[14]
Chan KW, Lee KH, Mou JW, et al. Laparoscopic management of complicated Meckel′s diverticulum in children: a 10-year review [J]. Surg Endosc, 2008, 22 (6): 1 509-1 512.
[15]
Palanivelu C, Rangarajan M, Senthilkumar R, et al. Laparo- scopic management of symptomatic Meckel′s diverticula: a simple tangential stapler excision [J]. JSLS, 2008, 12 (1): 66-70.
[16]
Duan X, Ye G, Bian H, et al. Laparoscopic vs. laparoscopically assisted management of Meckel′s diverticulum in children [J]. Int J Clin Exp Med, 2015, 8 (1): 94-100.
[17]
Yang Jun, Guo Qin, Duan Xufei, et al. Total laparoscopic resection of Meckel's diverticulum. Operation [J]. Chinese Journal of General surgery, 2012 Magazine 27 (9): 733-735.
[18]
Kong Chihuan, Ma Jidong. A review of the diagnosis and treatment of Meckel's diverticulum (report of 39 cases) [J]. Journal of Clinical Pediatric surgery, 2015, 4 (6): 444-446.
[19]
Homero Rivas, Wang Yongkun, Zhu Jiangfan. Single-hole laparoscopic surgery: endoscopic hand. New advances in surgery [J]. Chinese Journal of minimally invasive surgery, 2009, 15 (12): 1063-1065.
[20]
Żyluk Andrzej, Management of incidentally discovered unaffected Meckel's diverticulum-a review.[J]. Pol Przegl Chir 2019 Aug 12; 91 (6): 41-46.
[21]
Keese Daniel, Rolle Udo, Gfroerer Stefan et al. Symptomatic Meckel's Diverticulum in Pediatric Patients-Case Reports and Systematic Review of the Literature. Front Pediatr, 2019; 7.
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