title: Laparoscopic vs. laparoscopically assisted management of Meckel's diverticulum in children.
abstract: To investigate the management of Meckel's diverticulum in children and the feasibility of using laparoscopic and laparoscopically assisted Meckel's diverticulum resection and intestinal anastomosis according to the different subtypes classified laparoscopically. 55 symptomatic Meckel's diverticulum cases were classified into two categories, the simple and the complex types depending on Meckel's diverticulum appearance upon laparoscopic exploration. Forty-one cases of simple Meckel's diverticulum were treated with simple diverticulectomy during laparoscopy, and 14 cases of complicated Meckel's diverticulum were treated with laparoscopically assisted Meckel's diverticulum resection and intestinal anastomosis. The operation time for the laparoscopically assisted was significant longer than laparoscopic-only surgeries [45~123 min (54.57 ± 20.17min) vs 29~78min (38.85 ± 9.75 min)], P = 0.013. Among the 55 cases, Just one child with simple type MD during laparoscopic exploration, and presented a diverticulum with a base that was considered to be in the mesangial margin. The remaining 54 patients were cured, and follow-up for 4~36 months revealed that they did not present abdominal pain, and no hematochezia occurred as a complication. Surgery selection either laparoscopy only or transumbilical laparoscopically assisted intestinal resection and intestinal anastomosis by laparoscopic exploration for Meckel's diverticulum treatment, based on the type of Meckel's diverticulum in children, is safe, feasible, and effective.
authors.affiliation: Department of General Surgery, The Children Hospital of Wuhan Wuhan 430016, China.
authors.forename: Xufei
authors.initials: X
authors.lastname: Duan
authors.affiliation: Department of General Surgery, The Children Hospital of Wuhan Wuhan 430016, China.
authors.forename: Guogang
authors.initials: G
authors.lastname: Ye
authors.affiliation: Department of General Surgery, The Children Hospital of Wuhan Wuhan 430016, China.
authors.forename: Hongqiang
authors.initials: H
authors.lastname: Bian
authors.affiliation: Department of General Surgery, The Children Hospital of Wuhan Wuhan 430016, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Yang
authors.affiliation: Department of General Surgery, The Children Hospital of Wuhan Wuhan 430016, China.
authors.forename: Kai
authors.initials: K
authors.lastname: Zheng
authors.affiliation: Department of General Surgery, The Children Hospital of Wuhan Wuhan 430016, China.
authors.forename: Chong
authors.initials: C
authors.lastname: Liang
authors.affiliation: Department of General Surgery, The Children Hospital of Wuhan Wuhan 430016, China.
authors.forename: Xuan
authors.initials: X
authors.lastname: Sun
authors.affiliation: Department of General Surgery, The Children Hospital of Wuhan Wuhan 430016, China.
authors.forename: Xueqiang
authors.initials: X
authors.lastname: Yan
authors.affiliation: Department of General Surgery, The Children Hospital of Wuhan Wuhan 430016, China.
authors.forename: Hu
authors.initials: H
authors.lastname: Yang
authors.affiliation: Department of General Surgery, The Children Hospital of Wuhan Wuhan 430016, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Wang
authors.affiliation: Department of General Surgery, The Children Hospital of Wuhan Wuhan 430016, China.
authors.forename: Jingwei
authors.initials: J
authors.lastname: Ma
keywords: Meckel’s diverticulum; child; diverticulum types; laparoscopy surgical procedures