Reduced port laparoscopic surgery using umbilical zigzag incision for Meckel's diverticulitis

Area of Science:

• Minimally invasive surgical techniques
• Gastrointestinal surgery
• Laparoscopic surgery

Background:

• Reduced port laparoscopic surgery with an umbilical zigzag incision is a viable alternative to conventional multiport laparoscopic surgery.
• This technique demonstrates potential for improved cosmetic results and reduced postoperative wound discomfort.

Observation:

• A 67-year-old male presented with right lower abdominal pain, diagnosed with Meckel's diverticulitis via CT scan.
• After initial conservative management, the patient underwent successful Meckel's diverticulum resection using zigzag transumbilical laparoscopic surgery.
• Postoperative recovery was favorable, with minimal pain, early oral intake, and discharge within 10 days.

Findings:

• Zigzag transumbilical laparoscopic surgery is effective for small intestine resection, including Meckel's diverticulitis.
• The procedure demonstrates excellent operability and aesthetic outcomes.
• Interval resection of Meckel's diverticulum via this method is suggested as a practical approach.

Implications:

• This technique enhances patient recovery by minimizing pain and improving cosmetic results.
• Zigzag transumbilical laparoscopic surgery represents a valuable advancement in minimally invasive gastrointestinal procedures.
• The approach is particularly suitable for elective procedures like interval Meckel's diverticulum resection.