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Related Experiment Video

Updated: Apr 27, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
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Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

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Laparoscopic approach to Meckel's diverticulum.

Alfonso Papparella1, Fabiano Nino1, Carmine Noviello1

  • 1Alfonso Papparella, Antonio Marte, Pio Parmeggiani, Departments of Paediatrics, Paediatric Surgery, Faculty of Medicine, Paediatric Surgery-Second University of Naples, 80138 Naples, Italy.

World Journal of Gastroenterology
|July 11, 2014
PubMed
Summary

Trans-umbilical laparoscopic-assisted surgery is a safe and effective treatment for Meckel Diverticulum (MD) in children. This minimally invasive approach resulted in no major complications and excellent patient outcomes.

Keywords:
Gastrointestinal bleedingIleal duplicationJejunal hemangiomaLaparoscopyMeckel’s diverticulumMinimal invasive surgeryOne trocar surgery

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Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Meckel Diverticulum (MD) is a congenital anomaly that can cause significant gastrointestinal issues in children.
  • Laparoscopic techniques are increasingly being adopted for pediatric surgical procedures.

Purpose of the Study:

  • To retrospectively review the outcomes of trans-umbilical laparoscopic-assisted (TULA) surgery for Meckel Diverticulum.
  • To evaluate the safety and efficacy of TULA for MD management in pediatric patients.

Main Methods:

  • A review of 19 TULA procedures for suspected MD performed between 2002 and 2012.
  • Patients presented with gastrointestinal bleeding and/or recurrent abdominal pain.
  • Data collected included demographics, diagnostic investigations, operative details, histopathology, and outcomes.

Main Results:

  • MD was confirmed in 17 patients; other diagnoses included ileal duplication and jejunal hemangioma.
  • The majority of patients presented with painless intestinal bleeding.
  • All TULA procedures were completed without conversion to open surgery, with a mean operative time of 75 minutes and no major complications.

Conclusions:

  • Trans-umbilical laparoscopic-assisted Meckel's diverticulectomy is a safe and effective surgical option for pediatric MD.
  • The procedure demonstrates excellent short-term and long-term outcomes with minimal complications.