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: 00-12-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


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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  1. A fifty-year experience with Meckel's diverticulum. Surg Gynecolo Obstet Jan1983;156(1):56-64.
  2. Meckel's diverticular complications in children: Is laparoscopy the order of the day? Pediatr Surg Int 2007;23:141-47.
  3. Laparoscopic management of Meckel's diverticulum in children. Journal of Pediatric Surgery 2005;40:562-67.
  4. Video-assisted transumbilical Meckel's diverticulectomy in children. The American Surgeon. April 2008;74(4):327-29.
  5. Laparoscopic management of complicated Meckel's diverticulum in children: A 10-year review. Surg Endosc 2008;22:1509-12.
  6. One-trocar transumbilical laparoscopic-assisted management of Meckel's diverticulum in children. Journal of Laparoendoscopic and Adv Surg Tech 2007;17:238-41.
  7. Laparoscopic management of symptomatic Meckel's diverticula: A simple tangential stapler excision. JSLS 2008;12:66-70.
  8. Surgical management of Meckel's diverticulum: An epidemiologic, population-based study. Ann Surg 1994;220:564-69.
  9. Does the external appearance of a Meckel's diverticulum assist in choice of laparoscopic procedure? Pediatr Surg Int 2002;18:231-33.
  10. Laparoscopic resection for incidentally detected Meckel diverticulum. World J Gastroenterol Aug 2008;14(31):4961-63.
  11. Symptomatic Meckel's diverticulum in children: A 16-year review. Pediatr Surg Int 2008;24:575-77.
  12. The utility of technetium 99 m pertechnetate scintigraphy in the evaluation of patients with Meckel's diverticulum. J Pediatr Surg May 1999;34(5):760-64.
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