EFFICACY OF LAPAROSCOPIC TECHNIQUES IN CHILDREN WITH DIVERTICULUM OF MECKEL

Abstract

The article sums up the experience of laparoscopic interventions in 94 patients with diverticulum of Meckel (DM) aged 6 months to 18 years and observed from 2005 to 2015 at the clinic of pediatric surgery of the Russian Medical Academy of Postgraduate Education. Information value of clinical, ultrasound and X-ray methods of preoperative diagnostics in diverticulum of Meckel is shown. The surgery volume and type were determined during laparoscopy. In the inflammation of DM, bleeding DM and DM torsion (57) laparoscopic diverticulectomy was performed in 48 patients, in intestinal obstruction (26) laparoscopic techniques was successful in 17 patients. During planned and urgent surgeries simultaneous diverticulectomy was performed in 9 observations. Limitations for laparoscopic techniques (19) were noted in diffuse peritonitis (4), advanced forms of bowel obstruction (9), intense bleeding (1), equipment of the operation room and competence of specialists (5) when developing the techniques. 

Keywords

diverticulum of Meckel / children / laparoscopy

References

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RIGHTS & PERMISSIONS

Korovin S.A., Dzyadchik A.V., Allakhverdiev I.S., Zykin A.P., Sokolov Y.Y.