Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Operative Management of Complicated Meckel's Diverticulum Laparotomy and versus Laparoscopic Assisted Surgery

소아 멕켈씨 게실 합병증에서 시행한 개복 수술과 복강경 보조 수술의 비교

  • Lee, Yu-Ra (Division of Pediatric Surgery, Asan Medical Center Children's Hospital, University of Ulsan Collage of Medicine) ;
  • Cho, Min-Jeng (Division of Pediatric Surgery, Asan Medical Center Children's Hospital, University of Ulsan Collage of Medicine) ;
  • Kim, Tae-Hoon (Division of Pediatric Surgery, Asan Medical Center Children's Hospital, University of Ulsan Collage of Medicine) ;
  • Kim, Dae-Yeon (Division of Pediatric Surgery, Asan Medical Center Children's Hospital, University of Ulsan Collage of Medicine) ;
  • Kim, Seong-Chul (Division of Pediatric Surgery, Asan Medical Center Children's Hospital, University of Ulsan Collage of Medicine) ;
  • Kim, In-Koo (Division of Pediatric Surgery, Asan Medical Center Children's Hospital, University of Ulsan Collage of Medicine)
  • 이유라 (울산대학교 의과대학 서울아산병원 소아외과) ;
  • 조민정 (울산대학교 의과대학 서울아산병원 소아외과) ;
  • 김태훈 (울산대학교 의과대학 서울아산병원 소아외과) ;
  • 김대연 (울산대학교 의과대학 서울아산병원 소아외과) ;
  • 김성철 (울산대학교 의과대학 서울아산병원 소아외과) ;
  • 김인구 (울산대학교 의과대학 서울아산병원 소아외과)
  • Received : 2011.06.22
  • Accepted : 2011.08.30
  • Published : 2011.06.30
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Abstract

Meckel's diverticulum (MD) has various clinical presentations and due to the limitation of imaging studies, pre-operative diagnosis is a challenge in pediatric patients. Recently, laparoscopic exploration has been suggested as a favorable method for the diagnosis and treatment of complicated MD. We investigated the results of laparoscopic-assisted surgery compared with open technique. We retrospectively studied patients who underwent resection of complicated MD at our institute from 1997 to 2010 and compared 11 treated by laparoscopic-assisted diverticulectomy (LD) with 11 treated by open diverticulectomy (OD) for complicated MD. Operation time was not significantly different in the two groups. Hospital stay and time to diet were not significantly different. Two patients were re-admitted due to mechanical ileus in the LD group. None of patients in either group needed re-operation. Considering the possibility of false-positive results with imaging studies and the cosmetic benefit, laparoscopic-assisted surgery is a safe and effective treatment modality to diagnose and treat complicated Meckel's diverticulum.

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