Transumbilical Single-site Laparoscopic Treatment of Meckel's Diverticulum in Children:Experience of 122 Cases
10.3969/j.issn.1009-6604.2024.09.002
- VernacularTitle:经脐单一部位腹腔镜手术治疗小儿梅克尔憩室122例
- Author:
Jinhua JIA
1
;
Meng KONG
;
Hongzhen LIU
;
Hong QIN
;
Chuanyang LIU
;
Shisong ZHANG
Author Information
1. 山东大学附属儿童医院 济南市儿童医院普外科,济南 250022
- Keywords:
Meckel's diverticulum;
Transumbilical single-site;
Laparoscope
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(9):599-603
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and feasibility of transumbilical single-site laparoscopic treatment of Meckel's diverticulum in children.Methods A total of 122 patients with Meckel's diverticulum were treated with transumbilical single-site laparoscopic treatment in our department from January 2019 to June 2023.A longitudinal incision was made through the umbilical cord,and 5 mm trocars were inserted into the left and right sides of the incision.The laparoscope and non-invasive intestinal forceps were inserted via the observation and operation holes to probe the abdominal cavity and locate the diverticulum.After the umbilical cord incision was expanded,the diverticulum was pulled out from the abdominal cavity for external resection and anastomosis.Results All the 122 children were diagnosed by laparoscopy.There were 4 cases who were diagnosed as having acute gangrenous appendicitis preoperatively,but were confirmed as having Meckel's diverticulum with perforation under laparoscope intraoperatively.There were 38 cases of lower digestive tract bleeding,48 cases of inflammatory reaction,12 cases of intussusception,8 cases of intestinal obstruction caused by cord and band compression,and 12 cases of peritonitis caused by perforation.All the operations were successfully completed,and the operation time was 58-125 min,with an average of 78 min.Pathological examination after surgery showed Meckel's diverticulum in all the cases.Two cases of incision infection were cured after dressing change treatment.The patients were given a liquid diet 2-4 d after surgery and discharged 5-9 d later.A total of 119 patients were followed up for 3-18 months after surgery,and the surgical results were satisfactory.There were no serious complications such as rectal bleeding,anastomotic stenosis,adhesive intestinal obstruction,or incisional hernia after surgery.Conclusions Transumbilical single-site laparoscopic treatment of Meckel's diverticulum in children is safe and feasible.Meckel's diverticulum combined with perforation or intestinal obstruction is not a contraindication of transumbilical single-site laparoscopic surgery.
