title: Does the external appearance of a Meckel's diverticulum assist in choice of the laparoscopic procedure?
abstract: In the era of laparoscopic surgery, the resection of a Meckel's diverticulum is a good indication for a laparoscopic procedure. In this paper, the relationship between the distribution of gastric heterotopia (GH) and the external appearance of the diverticulum was studied for the proper choice of the laparoscopic procedure. Symptomatic diverticula containing GH in eight patients were analyzed with regard to the distribution of gastric mucosa and the external appearance. While the long diverticula had the GH at the distal end, in the short diverticula it occurred in almost any area. For long diverticula, simple transverse resection with a stapling device is recommended. However, in short diverticula ileal resection with end-to-end anastomosis or wedge resection after exteriorization is recommended.
authors.affiliation: Department of Pediatric Surgery, Kagoshima University, Faculty of Medicine, 8-35-1 Sakuragaoka kagoshima-shi 890-0075, Japan.
authors.forename: Motoi
authors.initials: M
authors.lastname: Mukai
authors.forename: Hideo
authors.initials: H
authors.lastname: Takamatsu
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Noguchi
authors.forename: Takahiko
authors.initials: T
authors.lastname: Fukushige
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tahara
authors.forename: Tatsuru
authors.initials: T
authors.lastname: Kaji
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008467:Meckel Diverticulum / Q000473:pathology* / Q000601:surgery*; D012189:Retrospective Studies