2005, Number 1
<< Back Next >>
Rev Mex Cir Endoscop 2005; 6 (1)
Laparoscopic Meckel’s diverticulum resection in adults: Experience at the Texas Endosurgery Institute
Franklin MEJ, Leyva-Alvizo A, Glass JL, Treviño JM, Arellano PP, Madrigal SSA
Language: Spanish
References: 12
Page: 25-27
PDF size: 42.85 Kb.
ABSTRACT
Reports have demonstrated the feasibility and safety of laparoscopic procedures in large series of children and adults as well, mostly in symptomatic patients. A total of six patients were approached laparoscopically between 1993 and 2004, two with symptoms attributable to the diverticulum itself, and four with incidental diverticula during procedures for other reasons. The sex distribution was three males and three females, with median age 53 years (between 19-86 years). In all of the patients the resection was only of the diverticulum, not small bowel resections. The mean hospital stay was 6 days, with a range of 2-15 days. No malignancies were reported. All of the patients had follow up, and had no perioperative complications related to the resection, especially recurrent bleeding in the symptomatic cases. Our results show only adult patients, with mean age above 50 years, something different from the rest of the series revised. No complications were found in our series, this shows that laparoscopy is safe and efficient in the diagnosis and treatment of Meckel’s diverticulum, and that treatment in adult asymptomatic patients can be equally safe.
REFERENCES
Arnold JF, Pellicane JV. Meckel’s Diverticulum: A ten-year experience. Am Surg 1997; 63: 354-5.
Meckel JF. Über die divertikel am darmkanal. Arch die Physiologie 1809; 9: 421-53.
Yahchouchy E, Marano A, Etienne J, Fingerhut A. Meckel’s diverticulum. J Am Coll Surg 2001; 192: 658-62.
Cullen JJ, Kelly KA, Moir CR et al. Surgical management of Meckel’s diverticulum: An epidemiologic, population-based study. Ann Surg 1994; 220: 564-569.
Pinero A, Martinez-Barba E, Canteras M et al. Surgical management and complications of Meckel’s diverticulum in 90 patients. Eur J Surg 2002; 168: 8-12.
Groebli Y, Bertin D, Morel P. Meckel’s diverticulum in adults: Retrospective analysis of 119 cases and historical review. Eur J Surg 2001; 167: 518-524.
Dronov AF, Poddubnyi IV, Kotlobovsklii VI, Al’-Mashat NA, Iarustovskii PM. Video-laparoscopic surgeries in Meckel diverticulum in children. Khirurgiia 2002; 10: 39-42.
Tarcoveanu E, Niculescu D, Georgescu S, Neacºu CN, Dimofte G, Moldovanu R, Epure O. Meckel’s diverticulum in laparoscopic era. Chirurgia 2004; 99: 227-32.
Ferranti F, Mondini O, Valle P, Castagnoli P. Meckel’s diverticulum: Ten years experience. G Chir 1999; 20: 107-12.
Leijonmarck CE, Bonman-Sandelin K, Friseil J, Rä L. Meckel’s diverticulum in the adult. Br J Surg 1986; 73: 146-9.
Cullen JJ, Kelly KA, Moir CR et al. Surgical management of Meckel’s diverticulum. An epidemiologic, population-based study. Ann Surg 1994; 220: 564-9.
Franklin ME, Berghoff KE, Arellano PP, Treviño JM, Abrego-Medina D. Safety and efficacy of the use of bioabsorbable Seamguard in colorectal surgery at the Texas Endosurgery Institute. Surg Laparosc Endosc Percutan Tech 2005; 15(2).