Gómez CX, Hagerman Ruiz-Galindo G, Hernández AR, Belmonte MC, Decanini TC

Language: Spanish
References: 17
Page: 11-15
PDF size: 179.34 Kb.

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.

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