Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (9): 40-44.doi: 10.6040/j.issn.1671-7554.0.2020.152

Previous Articles     Next Articles

Clinical analysis of laparoscopy assisted small incision of umbilicus in the treatment of Meckels diverticulum in children

LIU Chao1, YAN Dong2, LI Xiang1, ZHANG Lei1, LI Yan3   

  1. 1. Department of Pediatric Surgery;
    2. Department of Anesthesia;
    3. Department of Research Office, Qilu Hospital(Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao 266035, Shandong, China
  • Online:2020-09-10 Published:2020-08-30

PDF (PC)

160

Abstract: Objective To explore the clinical feasibility and safety of laparoscopy assisted small incision of umbilicus in the treatment of Meckels diverticulum in children. Methods The clinical data of 32 children with Meckels diverticulum during Dec. 2013 and Jun. 2019 were retrospectively analyzed, including general information, symptoms and signs, results of auxiliary examinations, operation and postoperative complications. Results Of the 32 cases, 21 were male and 11 were female, with an average age of(4.2±2.9)years. All patients came to see doctors due to various symptoms, including hematochezia in 20 cases, diverticulitis in 4 cases and intestinal obstruction in 8 cases. Laparoscopy assisted small incision of umbilicus was performed in all cases. The average operation time was(42.8±11.3)minutes, and average hospital stay was(7.8±1.9)days. All cases were diagnosed as Meckels diverticulum by pathological examination. Long-term follow-up showed no infection of incision, incision hernia or other complications. The incision was concealed with good cosmetic effects. Conclusion Meckels diverticulum in children has various clinical manifestations, and active surgical exploration should be performed in suspected cases. Laparoscopy assisted small incision of umbilicus is a safe and effective treatment, with concealed incision and good cosmetic effects.

Key words: Laparoscope, Umbilicus, Small incision, Meckels diverticulum

CLC Number: 

  • R726.1
[1] Yahchouchy EK, Marano AF, Etienne JC, et al. Meckels diverticulum[J]. J Am Coll Surg, 2001, 192(5): 658-662.
[2] Çelebi S. Male predominance in Meckels diverticulum: a hyperacidity hypotheses[J]. Med Hypotheses, 2017, 104: 54-57. doi: 10.1016/j.mehy.2017.05.014.
[3] Rattan KN, Singh J, Dalal P, et al. Meckels diverticulum in children: Our 12-year experience[J]. Afr J Paediatr Surg, 2016, 13(4): 170-174.
[4] Huang CC, Lai MW, Hwang FM, et al. Diverse presentations in pediatric Meckels diverticulum: a review of 100 cases[J]. Pediatr Neonatol, 2014, 55(5): 369-375.
[5] ÖF Bük, S Ocak. Incarcerated Littres hernia: uncommon presentation of Meckels diverticulum[J]. Ortadogu Tip Derg, 2019, 11(2): 211-213.
[6] Bandi A, Tan YW, Tsang T. Correlation of gastric heterotopia and Meckels diverticular bleeding in children: a unique association[J]. Pediatr Surg Int, 2014, 30(3): 313-316.
[7] Turgeon K, Barnett JL. Meckels diverticulum[J]. Am J Gastroentero, 1990, 85(7): 777-781.
[8] Adero Francis, Diana Kantarovich, Nasim Khoshnam, et al. Pediatric Meckels diverticulum: report of 208 cases and review of the literature[J]. Fetal Pediatr Pathol, 2016, 35(3): 199-206.
[9] 马燕, 高志刚, 章立峰, 等. 儿童美克尔憩室临床诊治分析[J]. 中华普通外科杂志, 2017, 32(8): 674-677. MA Yan, GAO Zhigang, ZHANG Lifeng, et al. Clinical diagnosis and treatment of Meckels diverticulum in children[J]. Chinese Journal of General Surgery, 2017, 32(8): 674-677.
[10] Chen Q, Gao Z, Zhang L, et al. Multifaceted behavior of Meckels diverticulum in children[J]. J Pediatr Surg, 2018, 53(4): 676-681.
[11] Tjandra JJ. Textbook of surgery. third edition[M]. Oxfordshire: Blackwell Publishing Ltd, 2008:171-177.
[12] 董娟, 秦鸣, 陈玉龙, 等. 儿童美克尔憩室继发肠套叠超声特点及漏诊误诊分析[J]. 中国超声医学杂志, 2018, 34(11): 95-97. DONG Juan, QIN Ming, CHEN Yulong, et al. Ultrasonographic characteristics and misdiagnosis of intussusception secondary to Meckels undefined diverticulum in children[J]. Chinese Journal of Ultrasound in Medicine, 2018, 34(11): 95-97.
[13] 陈文娟, 张雪华, 段星星, 等. 儿童美克尔憩室超声检查61例[J]. 临床小儿外科杂志, 2014, 13(3): 208-210. CHEN Wenjuan, ZHANG Xuehua, DUAN Xingxing, et al. Sonographic findings of Meckels diverticulum in children[J]. Journal of Clinical Pediatric Surgery, 2014, 13(3): 208-210.
[14] 曾文欢, 甘起云. 常见治疗内科急性腹痛药物的临床研究[J]. 山东大学学报(医学版), 2014, 25(2): 201-202. ZENG Wenhuan, GAN Qiyun. Clinical study on common medicine for acute abdominal pain[J]. Journal of Shandong University(Health Science), 2014, 25(2): 201-202.
[15] Maazoun K, Mekki M, Sahnoun L, et al. Intussusception owing to pathologic lead points in children: report of 27 cases[J]. Arch Pediatr, 2007, 14(1): 4-9.
[16] 胡俊, 胡克非, 尹传高, 等. MR小肠造影在儿童美克尔憩室合并症诊断中的价值[J]. 中华放射学杂志, 2016, 50(8): 620-624. HU Jun, HU Kefei, YIN Chuangao, et al. MR enterography for the diagnosis of symptomatic Meckel diverticulum in pediatric patients[J]. Chinese Journal of Radiology, 2016, 50(8): 620-624.
[17] 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.
[18] 贺雪华, 邹德环, 王红英, 等. 对比实时超声与核素显像诊断儿童美克尔憩室[J]. 中国医学影像技术, 2019, 35(7): 1065-1068. HE Xuehua, ZOU Dehua, WANG Hongying, et al. Comparison of real-time ultrasound and radionuclide imaging for Meckels diverticulum in children[J]. Chinese Journal of Medical Imaging Technology, 2019, 35(7): 1065-1068.
[19] 张晓青, 汪健. 儿童美克尔憩室并发症的临床特点分析[J]. 中华妇幼临床医学杂志(电子版), 2018, 14(4): 413-418. ZHANG Xiaoqing, WANG Jian. Clinical features analysis of complications of Meckel diverticulum in children[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2018, 14(4): 413-418.
[20] Robinson JR, Correa H, Brinkman AS, et al. Optimizing surgical resection of the bleeding Meckel diverticulum in children[J]. J Pediatr Surg, 2017, 52(10): 1610-1615.
[21] Qingjiang Chen, Zhigang Gao, Lifeng Zhang, et al. Multifaceted behavior of Meckels diverticulum in children[J]. J Pediatr Surg, 2018, 53(4): 676-681.
[22] 孟红艳, 王玉娇, 王挺, 等. 一例美克尔憩室穿孔致严重气腹的极低出生体质量患儿的护理[J]. 中国实用护理杂志, 2017, 33(30): 2371-2373. MENG Hongyan, WANG Yujiao, WANG Ting, et al. Nursing care of a very low birth weight child with severe pneumoperitoneum caused by Meckels diverticulum perforation[J]. Chinese Journal of Practical Nursing, 2017, 33(30): 2371-2373.
[23] 朱真闯, 闫学强, 杨俊, 等. 腹腔镜手术在11例小儿特殊类型腹股沟嵌顿疝治疗中的应用[J]. 第二军医大学学报, 2017, 38(7): 938-942. ZHU Zhenchuang, YAN Xueqiang, YANG Jun, et al. Application of laparoscopy for special kinds of incarcerated inguinal hernias in children: a report of 11 cases[J]. Academic Journal of Second Military Medical University, 2017, 38(7): 938-942.
[24] 杨俊, 郭琴, 段栩飞, 等. 全腹腔镜下美克尔憩室切除术[J]. 中华普通外科杂志, 2012, 27(9): 733-735. YANG Jun, GUO Qin, DUAN Xufei, et al. Totally laparoscopic Meckels diverticulectomy[J]. Chinese Journal of General Surgery, 2012, 27(9): 733-735.
[25] Ezekian B, Leraas HJ, Englum BR, et al. Outcomes of laparoscopic resection of Meckels diverticulum are equivalent to open laparotomy[J]. J Ped Surgery, 2019, 54(3): 507-510.
No related articles found!
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd