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首页> 外文期刊>Surgical Endoscopy >Laparoscopic management of complicated Meckel's diverticulum in children: a 10-year review.
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Laparoscopic management of complicated Meckel's diverticulum in children: a 10-year review.

机译：复杂儿童梅克尔憩室的腹腔镜处理：10年回顾。

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BACKGROUND: Meckel's diverticulum, the most common congenital anomaly of the gastrointestinal tract, is prone to develop complications in the pediatric population. The authors report their 10-year experience with the management of complicated Meckel's diverticulum in children using laparoscopy. METHODS: A retrospective review of all complicated Meckel's diverticulum cases involving children from 1998 to 2007 was performed. The efficacy and safety of laparoscopy used to manage complicated Meckel's diverticulum were assessed. RESULTS: Over a 10-year period, 20 children (17 boys and 3 girls) with a mean age of 5 years (range, 7 months to 13 years) were included in the study. Of the 20 children, 12 presented with gastrointestinal bleeding, 2 had intestinal obstruction, 3 had abdominal pain mimicking acute appendicitis, 2 had inguinal hernia, and 1 had intussusception. Diagnostic laparoscopy was performed for all the patients. Laparoscopically assisted transumbilical Meckel's diverticulectomy was performed successfully for 18 of the children. The operative time ranged from 50 to 190 min (mean, 115 min). All the children had an uneventful recovery except one, who experienced a postoperative wound infection. Ectopic gastric mucosa was found in 14 cases. CONCLUSIONS: Diverse pediatric surgical conditions result from Meckel's diverticulum. Laparoscopy is a safe and effective method for the management of complicated Meckel's diverticulum.
机译：背景：麦克尔憩室是胃肠道最常见的先天性异常，在儿科人群中容易出现并发症。作者报告了他们使用腹腔镜检查处理儿童复杂Meckel憩室的10年经验。方法：对1998年至2007年所有涉及儿童的复杂的梅克尔憩室病例进行回顾性研究。评估了用于处理复杂的梅克尔憩室的腹腔镜检查的有效性和安全性。结果：在10年的时间里，该研究包括20名平均年龄为5岁（范围从7个月至13岁）的儿童（17名男孩和3名女孩）。在这20名儿童中，有12名出现胃肠道出血，2名患有肠梗阻，3名模拟急性阑尾炎的腹痛，2名腹股沟疝和1名肠套叠。对所有患者进行了诊断性腹腔镜检查。腹腔镜辅助的经脐带Meckel憩室切除术成功地治疗了18名儿童。手术时间为50至190分钟（平均115分钟）。除了一名经历了术后伤口感染的儿童外，所有儿童的恢复都很顺利。发现异位胃粘膜14例。结论：梅克尔憩室引起了多种儿科手术情况。腹腔镜检查是治疗复杂的梅克尔憩室的一种安全有效的方法。

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