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Laparoscopic excision of Meckel's diverticulum in children: what is the current evidence?
Kin Wai Edwin Chan1, Kim Hung Lee1, Hei Yi Vicky Wong1
1Kin Wai Edwin Chan, Kim Hung Lee, Hei Yi Vicky Wong, Siu Yan Bess Tsui, Yuen Shan Wong, Kit Yi Kristine Pang, Jennifer Wai Cheung Mou, Yuk Him Tam, Division of Paediatric Surgery and Paediatric Urology, Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.
Insights
Minimally invasive surgery (MIS) is increasingly used for children with Meckel
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Meckel's diverticulum complications commonly affect children.
- Symptoms include abdominal pain, obstruction, intussusception, and bleeding.
Purpose of the Study:
- To review the evolution of minimally invasive surgery (MIS) for pediatric Meckel's diverticulum.
- To present current evidence on various laparoscopic techniques.
Main Methods:
- Literature review of laparoscopic approaches for Meckel's diverticulum in children.
- Analysis of conventional laparoscopy, single-incision laparoscopic surgery (SILS), and specialized instruments.
Main Results:
- Laparoscopic excision is a popular MIS approach for pediatric Meckel's diverticulum.
- Single incision laparoscopic surgery (SILS) is an emerging technique.
- Evidence on intracorporeal and extracorporeal diverticulectomy is discussed.
Conclusions:
- MIS, including laparoscopy and SILS, is advancing the management of Meckel's diverticulum in children.
- Various laparoscopic techniques offer options for diagnosis and treatment.
Abstract:
Complications aroused from Meckel's diverticulum tend to developed in children. Children presented with abdominal pain, intestinal obstruction, intussusception or gastrointestinal bleeding may actually suffered from complicated Meckel's diverticulum. With the advancement of minimally invasive surgery (MIS) in children, the use of laparoscopy in the diagnosis and subsequent laparoscopic excision of Meckel's diverticulum has gained popularity. Recently, single incision laparoscopic surgery (SILS) has emerged as a new technique in minimally invasive surgery. This review offers the overview in the development of MIS in the management of children suffered from Meckel's diverticulum. The current evidence in different laparoscopic techniques, including conventional laparoscopy, SILS, the use of special laparoscopic instruments, intracorporeal diverticulectomy and extracorporeal diverticulectomy in the management of Meckel's diverticulum in children were revealed.
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