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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2000, Number 4

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An Med Asoc Med Hosp ABC 2000; 45 (4)

A laparoscopic point of view in Meckel's diverticulum

Gómez CX, Decanini TC, Belmonte MC, Ruiz-Galindo GH, Galeazzi MV

Language: Spanish
References: 14
Page: 188-191
PDF size: 120.53 Kb.


ABSTRACT

Laparoscopic surgery of acute abdominal pain in the low right quadrant syndrome and appendectomy has been well informed in medical literature. A general surgeon can confront other diagnosis during the surgery, like the complicated Meckel’s diverticulum. The purpose of this paper is to present three cases of patients with Meckel’s diverticulum with inflammatory complications, diagnosed and treated by laparoscopic surgery. Laparoscopic surgery showed Meckel’s diverticulum complicated with inflammation in three patients aged 62, 40 and 16, one of them with intestinal obstruction. The patients were treated by diverticulectomy using a endo-GIA 30 stapling device. In two of them we performed laparoscopic appendectomy. The surgical time was 70 minutes, they began feeding and intestinal activity two days after surgery. We found ectopic gastric mucosa in the three cases and only in one of them ectopic pancreatic mucosa. The time spent in the hospital was 2 to 4 days with a media of 2.6. Patients did not present complications. Conclusion: Laparoscopic diverticulectomy is an attractive therapeutic option for the Meckel’s diverticulum complicated with inflammation in selected patients, offering traditional advantage in the conventional management and the benefits of minimal invasive surgery.


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