World Journal of Laparoscopic Surgery

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VOLUME 4 , ISSUE 3 ( September-December, 2011 ) > List of Articles

RESEARCH ARTICLE

Current Laparoscopic Management of Symptomatic Meckel's Diverticulum

Morvendhran Moodley

Citation Information : Moodley M. Current Laparoscopic Management of Symptomatic Meckel's Diverticulum. World J Lap Surg 2011; 4 (3):140-145.

DOI: 10.5005/jp-journals-10007-1132

Published Online: 01-12-2013

Copyright Statement:  Copyright © 2011; The Author(s).


Abstract

Laparoscopic management is currently becoming an acceptable technique in the management of complicated Meckel's diverticulum. The study reviews the current techniques described in numerous series since over the past 10 years. Three laparoscopic techniques are described namely; LAMD (Laparoscopic-assisted Meckel's diverticulectomy—3 port technique with exteriorization of the diverticulum via the umbilical port and extracorporeal diverticulectomy), VATMD (Video-assisted Meckel's diverticulectomy—single umbilical port using operating laparoscope) and LMD(Laparoscopic Meckel's diverticulectomy—3 port technique with intracorporeal diverticulectomy). Small study sizes make in-depth statistical analysis impossible. Patient outcome with each technique however, seems similar, suggesting that the ultimate choice of procedure should be left to surgeon and institutional preference. The high incidence of heterotropic gastric mucosa (HGM) in complicated Meckel's diverticulum is confirmed and calculated to be an average of 78.2%.


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