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Clinical Effect of Single-Site Laparoscopy in the Treatment of Meckel's Diverticulum in Children

Received: 16 February 2020     Accepted: 24 February 2020     Published: 2 March 2020
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Abstract

Purpose: To observe the clinical effect of laparoscopic surgery on Meckel's diverticulum in children with (MD). Method: The clinical data of 20 children were analyzed retrospectively. All children were treated with laparoscopic surgery at single part of the umbilical cord, and the operation, clinical effects and postoperative complications were observed. Result: All the 20 children completed the operation successfully, and the operation time was 50. 5%. 2 ±5. 4) there were no complications such as abdominal pain, abdominal distension, vomiting, bleeding, intestinal adhesion obstruction, intestinal stricture and intestinal anastomotic fistula during and after min,. During the follow-up of 1 ~ 26 months, all the children ate and defecated normally and there was no recurrence. Conclusion: Umbilical laparoscopy is effective in the treatment of pediatric MD with less trauma, simple operation, short operation time and quick recovery after operation. Background Meckel's diverticulum is the most common congenital developmental malformation of the gastrointestinal tract, which is a mesenteric malformation caused by embryonic yolk tube degeneration. The incidence in the population is 2.0%, most patients have no clinical symptoms, occasionally found in autopsy, laparotomy, clinical diagnosis is more difficult. The clinical manifestations of its complications are easy to be confused with other diseases such as intussusception, colonic polyps, necrotizing enteritis and acute appendicitis perforation. Date sources Based on the progress in the treatment of Meckel's diverticulum in children at home and abroad, the clinical data of 20 children with Meckel's diverticulum treated in our hospital were analyzed retrospectively to observe the clinical effect of laparoscopy-assisted operation in the treatment of Meckel's diverticulum in children. Results All the 20 children completed the operation successfully, and the operation time was 50. 5%. 2 ±5. 4) there were no complications such as abdominal pain, abdominal distension, vomiting, bleeding, intestinal adhesion obstruction, intestinal stricture and intestinal anastomotic fistula during and after min,. During the follow-up of 1 ~ 26 months, all the children ate and defecated normally and there was no recurrence. Conclusions Surgical resection is the first choice for symptomatic Meckel diverticulum in children, and laparoscopic surgery is the first choice. The operative method of laparoscopic treatment of Meckel diverticulum in children with single part of umbilical cord has the advantages of less trauma, simple operation, short operation time and quick recovery after operation, and the operative effect is good.

Published in Journal of Surgery (Volume 8, Issue 1)
DOI 10.11648/j.js.20200801.17
Page(s) 34-37
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Laparoscopy, Meckel's Diverticulum, Children, Single-part

References
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[4] She Yaxiong. Pediatric surgery [M]. Beijing: people's Health Publishing House, 1995: 136-137.
[5] Blevrakis E, Partalis N, Seremeti C, et al. Meckel′s diverticulum in paediatric practice on Crete (Greece): a 10-year review [J]. Afr J Paediatr Surg, 2012, 8 (3): 279- 282.
[6] Sinha CK, Pallewatte A, Easty M, et al. Meckel′s scan in children: a review of 183 cases referred to two paediatric surgery specialist centres over 18 years [J]. Pediatr Surg Int, 2013, 29 (5): 511- 517.
[7] Menezes M, Tareen F, Saeed A, et al. Symptomatic Meckel′s diverticulum in children: a 16-year review [J]. Pediatr Surg Int, 2008, 24 (5): 575-577.
[8] Rho JH, Kim JS, Kim SY, et al. Clinical Features of Symp- tomatic Meckel′s Diverticulum in Children: Comparison of Scintigraphic and Non-scintigraphic Diagnosis [J]. Pediatr Gastroenterol Hepatol Nutr, 2013, 16 (1): 41-48.
[9] Pampal A, Aksakal ED. Littre hernia in childhood: a case report with a brief review of the literature [J]. Afr J Paediatr Surg, 2011, 8 (2): 221-224.
[10] Rangarajan M, Palanivelu C, Senthilkumar R, et al. Laparo- scopic surgery for perforation of Meckel′s diverticulum [J]. Singapore Med J, 2007, 48 (4): e102-e105.
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[15] Palanivelu C, Rangarajan M, Senthilkumar R, et al. Laparo- scopic management of symptomatic Meckel′s diverticula: a simple tangential stapler excision [J]. JSLS, 2008, 12 (1): 66-70.
[16] Duan X, Ye G, Bian H, et al. Laparoscopic vs. laparoscopically assisted management of Meckel′s diverticulum in children [J]. Int J Clin Exp Med, 2015, 8 (1): 94-100.
[17] Yang Jun, Guo Qin, Duan Xufei, et al. Total laparoscopic resection of Meckel's diverticulum. Operation [J]. Chinese Journal of General surgery, 2012 Magazine 27 (9): 733-735.
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  • APA Style

    Chen Jiarong, Huang Jingjing, Shi Qunfeng, Zeng Danping. (2020). Clinical Effect of Single-Site Laparoscopy in the Treatment of Meckel's Diverticulum in Children. Journal of Surgery, 8(1), 34-37. https://doi.org/10.11648/j.js.20200801.17

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    ACS Style

    Chen Jiarong; Huang Jingjing; Shi Qunfeng; Zeng Danping. Clinical Effect of Single-Site Laparoscopy in the Treatment of Meckel's Diverticulum in Children. J. Surg. 2020, 8(1), 34-37. doi: 10.11648/j.js.20200801.17

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    AMA Style

    Chen Jiarong, Huang Jingjing, Shi Qunfeng, Zeng Danping. Clinical Effect of Single-Site Laparoscopy in the Treatment of Meckel's Diverticulum in Children. J Surg. 2020;8(1):34-37. doi: 10.11648/j.js.20200801.17

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  • @article{10.11648/j.js.20200801.17,
      author = {Chen Jiarong and Huang Jingjing and Shi Qunfeng and Zeng Danping},
      title = {Clinical Effect of Single-Site Laparoscopy in the Treatment of Meckel's Diverticulum in Children},
      journal = {Journal of Surgery},
      volume = {8},
      number = {1},
      pages = {34-37},
      doi = {10.11648/j.js.20200801.17},
      url = {https://doi.org/10.11648/j.js.20200801.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200801.17},
      abstract = {Purpose: To observe the clinical effect of laparoscopic surgery on Meckel's diverticulum in children with (MD). Method: The clinical data of 20 children were analyzed retrospectively. All children were treated with laparoscopic surgery at single part of the umbilical cord, and the operation, clinical effects and postoperative complications were observed. Result: All the 20 children completed the operation successfully, and the operation time was 50. 5%. 2 ±5. 4) there were no complications such as abdominal pain, abdominal distension, vomiting, bleeding, intestinal adhesion obstruction, intestinal stricture and intestinal anastomotic fistula during and after min,. During the follow-up of 1 ~ 26 months, all the children ate and defecated normally and there was no recurrence. Conclusion: Umbilical laparoscopy is effective in the treatment of pediatric MD with less trauma, simple operation, short operation time and quick recovery after operation. Background Meckel's diverticulum is the most common congenital developmental malformation of the gastrointestinal tract, which is a mesenteric malformation caused by embryonic yolk tube degeneration. The incidence in the population is 2.0%, most patients have no clinical symptoms, occasionally found in autopsy, laparotomy, clinical diagnosis is more difficult. The clinical manifestations of its complications are easy to be confused with other diseases such as intussusception, colonic polyps, necrotizing enteritis and acute appendicitis perforation. Date sources Based on the progress in the treatment of Meckel's diverticulum in children at home and abroad, the clinical data of 20 children with Meckel's diverticulum treated in our hospital were analyzed retrospectively to observe the clinical effect of laparoscopy-assisted operation in the treatment of Meckel's diverticulum in children. Results All the 20 children completed the operation successfully, and the operation time was 50. 5%. 2 ±5. 4) there were no complications such as abdominal pain, abdominal distension, vomiting, bleeding, intestinal adhesion obstruction, intestinal stricture and intestinal anastomotic fistula during and after min,. During the follow-up of 1 ~ 26 months, all the children ate and defecated normally and there was no recurrence. Conclusions Surgical resection is the first choice for symptomatic Meckel diverticulum in children, and laparoscopic surgery is the first choice. The operative method of laparoscopic treatment of Meckel diverticulum in children with single part of umbilical cord has the advantages of less trauma, simple operation, short operation time and quick recovery after operation, and the operative effect is good.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Clinical Effect of Single-Site Laparoscopy in the Treatment of Meckel's Diverticulum in Children
    AU  - Chen Jiarong
    AU  - Huang Jingjing
    AU  - Shi Qunfeng
    AU  - Zeng Danping
    Y1  - 2020/03/02
    PY  - 2020
    N1  - https://doi.org/10.11648/j.js.20200801.17
    DO  - 10.11648/j.js.20200801.17
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 34
    EP  - 37
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20200801.17
    AB  - Purpose: To observe the clinical effect of laparoscopic surgery on Meckel's diverticulum in children with (MD). Method: The clinical data of 20 children were analyzed retrospectively. All children were treated with laparoscopic surgery at single part of the umbilical cord, and the operation, clinical effects and postoperative complications were observed. Result: All the 20 children completed the operation successfully, and the operation time was 50. 5%. 2 ±5. 4) there were no complications such as abdominal pain, abdominal distension, vomiting, bleeding, intestinal adhesion obstruction, intestinal stricture and intestinal anastomotic fistula during and after min,. During the follow-up of 1 ~ 26 months, all the children ate and defecated normally and there was no recurrence. Conclusion: Umbilical laparoscopy is effective in the treatment of pediatric MD with less trauma, simple operation, short operation time and quick recovery after operation. Background Meckel's diverticulum is the most common congenital developmental malformation of the gastrointestinal tract, which is a mesenteric malformation caused by embryonic yolk tube degeneration. The incidence in the population is 2.0%, most patients have no clinical symptoms, occasionally found in autopsy, laparotomy, clinical diagnosis is more difficult. The clinical manifestations of its complications are easy to be confused with other diseases such as intussusception, colonic polyps, necrotizing enteritis and acute appendicitis perforation. Date sources Based on the progress in the treatment of Meckel's diverticulum in children at home and abroad, the clinical data of 20 children with Meckel's diverticulum treated in our hospital were analyzed retrospectively to observe the clinical effect of laparoscopy-assisted operation in the treatment of Meckel's diverticulum in children. Results All the 20 children completed the operation successfully, and the operation time was 50. 5%. 2 ±5. 4) there were no complications such as abdominal pain, abdominal distension, vomiting, bleeding, intestinal adhesion obstruction, intestinal stricture and intestinal anastomotic fistula during and after min,. During the follow-up of 1 ~ 26 months, all the children ate and defecated normally and there was no recurrence. Conclusions Surgical resection is the first choice for symptomatic Meckel diverticulum in children, and laparoscopic surgery is the first choice. The operative method of laparoscopic treatment of Meckel diverticulum in children with single part of umbilical cord has the advantages of less trauma, simple operation, short operation time and quick recovery after operation, and the operative effect is good.
    VL  - 8
    IS  - 1
    ER  - 

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Author Information
  • Department of Pediatrics, Guangxi Maternal and Child Health Hospital, Nanning, P. R. China

  • Department of Pediatrics, Guangxi Maternal and Child Health Hospital, Nanning, P. R. China

  • Department of Pediatrics, Guangxi Maternal and Child Health Hospital, Nanning, P. R. China

  • Department of Pediatrics, Guangxi Maternal and Child Health Hospital, Nanning, P. R. China

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