Laparoscopic Surgical Techniques in Meckel's Diverticulum in Eleven Children

ABSTRACT

We report on 11 children in whom a Meckel's diverticulum was laparoscopically resected. In all children, the resection was performed endoscopically without any additional incisions or other techniques. In 6 children, there was an acute abdomen: 1 perforation of the diverticulum with local peritonitis; 3 cases of ileus by strangulation of the bowel through congenital ligaments; and 2 with intestinal bleeding. In the other 5 children, diverticulum resection was undertaken on the basis of unclear abdominal symptoms. Various techniques were used for resection. The most reliable and least traumatizing method was laser resection combined with endoligature. Other techniques include removal with the endo-GIA, resection with high-frequency diathermy, and ligature technique. Drainage was not required. There were no postoperative complications.