This journal only 2001, Number 1 Rev Mex Cir Endoscop 2001; 2 (1) Meckel’s diverticulum Laparoscopic management? Gómez CX, Hagerman Ruiz-Galindo G, Hernández AR, Belmonte MC, Decanini TC Full text How to cite this article Language: Spanish References: 17 Page: 11-15 PDF size: 179.34 Kb. Key words: Meckel’s diverticulum, diverticulectomy, laparoscopic, automatic suture instrument. ABSTRACT Background: The laparoscopic surgery of acute abdominal pain in the low right quadrant syndrome and appendectomy has been extensive written in the medical literature. The general surgeon can confront other diagnosis during the surgery, like the complicated Meckel’s diverticulum. The objective is present three cases of patients with Meckel’s diverticulum carrier of inflammatory complications, has been diagnosis and treated by laparoscopic surgery. Results: Three patients were male sex with a media age of 39 years old, between 16-62 years old. The laparoscopic surgery showed Meckel’s diverticulum complicated with inflammation, in one of them accompanied by intestinal obstruction. They were treated by diverticulectomy using a endo-GIA 30 stapling device. The surgical time was of 70 minutes (60-80 min.); they begin feeding and intestinal activity two days later of the surgery. The length of stays in the hospital was of 3 and 4 days with a media of 3.3 days. It was not present complication after twelve months. We found ectopic gastric mucous in the three cases and only in one of them ectopic pancreatic mucous. Conclusions: The laparoscopic diverticulectomy is an attractive therapeutic option for the Meckel’s diverticulum complicated with inflammation in selected patients. It will be a safe procedure with potential advantages. REFERENCES Soltero MJ, Bill AH. The natural history of Meckel’s diverticulum and relation to incidental removal. Am J Surg 1976; 132:168-71. Yamaguchi M, Takeuchi S, Awake S. Meckel’s diverticulum. Investigation of 600 patients in Japanese literature. Am J Surg 1978;136:247-9. Rutherford RB, Akers DR. Meckel’s diverticulum: a review of 148 patients, with special reference to the pattern of bleeding and to mesodiverticular vascular bands. Surgey 1966;59:618-26. Turgeon D, Barnett J. Meckel’s diverticulum. The American J of Gastroenterology 1990;85:777-81. Fansler RF. Laparoscopy in the management of Meckel’s diverticulum. Surg Laparosc Endosc 1996;6:231-3. Sanders LE. Laparoscopic treatment of Meckel’s diverticulum. Obstruction and bleeding managed with minimal morbidity. Surg Endosc 1995;9:724-7. Diamond T, Russell CFJ, Meckel’s diverticulum in the adult. Br J Surg 1985;72:480-82. Sciacca P, Borrello M, Cellitti M, Brocato R, Massi G. Intestinal obstruction due to Meckel’s diverticulum. Describe three cases. Minerva Chir 1998;53:795-9. Catarci M, Zaraca F, Scaccia M, Gossetti F, Negro P, Carboni M. Laparoscopic management of volvulated Meckel’s diverticulum. Surgical Laparoscopy & Endoscopy 1995;5:72-4. Miller K, Hutter J. Videolaparoscopic treatment of Meckel’s diverticulum. Endoscopy 1993;25:373. Attwood SEA, McGrath J, Hill ADK, Stephens RB. Laparoscopic approach to Meckel’s diverticulectomy. Br J Surg 1992;79:211. Alarcon Fernández O, Zamarripa Dorsey F, Hevia I, de Arino Suárez M, Naves González J. Meckel’s diverticulum in adults. A 3-decade experience. Rev Gastroenterol Mex 1997; 62: 273-5. Williams RS. Management of Meckel’s diverticulum. Br J Surg 1981;68:477-80. Teitelbaum D, Polley T, Obeid F. Laparoscopic diagnosis and excision of Meckel’s diverticulum. Journal of Pediatric Surgery 1994;29:495-97. Fa-Si-Oen PR, Roumen RM, Croiset van Uchelen FA. Complications and management of Meckel’s diverticulum -a review. Eur J Surg 1999;165:674-8. Ng WT, Wong MK, Kong CK, Chan YT. Laparoscopic approach to Meckel’s diverticulectomy. Br J Surg 1992;79:973-4. Schmid SW, Schafer M, Krahenbuhl L, Buchler MW. The role of laparoscopy in symptomatic Meckel’s diverticulum. Surg Endosc 1999; 13: 1047-9.