Târcoveanu E, Niculescu D, Georgescu St, Neacşu C N, Dimofte G, Moldovanu R, Epure Oana
Clinica I Chirurgie, UMF Gr. T Popa Iaşi.
Chirurgia (Bucur). 2004 Jul-Aug;99(4):227-32.
A recent case of a Meckel's diverticulum diagnosed and successfully laparoscopically treated, triggered off a retrospective study on a series of 34 cases with Meckel's diverticulum admitted to the First Surgical Clinic between 1990-2003. We encountered 12 uncomplicated cases and 22 cases with a large panel of complications: 11 intestinal obstructions (volvulus 9, intussusceptions on a tumor-2), 9 cases with diverticulitis, 1 gastrointestinal bleeding and 1 case with Littre's inguinal hernia. Positive diagnosis was established intraoperatively and the surgical treatment was adapted according to the local situation (excision of the diverticulum or enterectomy). Out of 12 patients with uncomplicated Meckel's diverticulum 8 were subjected to prophylactic excision of the diverticulum. In 6 of these microscopic examinations were inclusions of gastric mucosa. Laparoscopy is safe, relatively inexpensive and efficient in the diagnosis and treatment of Meckel's diverticulum.
最近一例梅克尔憩室经诊断并成功接受腹腔镜治疗，引发了一项对1990年至2003年间收治于第一外科诊所的34例梅克尔憩室病例的回顾性研究。我们遇到12例无并发症病例和22例伴有一系列并发症的病例：11例肠梗阻（9例肠扭转，2例肿瘤性肠套叠），9例憩室炎，1例胃肠道出血和1例利氏腹股沟疝。术中确诊后，根据局部情况进行手术治疗（憩室切除术或肠切除术）。12例无并发症的梅克尔憩室患者中，8例接受了憩室预防性切除术。其中6例的显微镜检查发现有胃黏膜包涵物。腹腔镜检查在梅克尔憩室的诊断和治疗中安全、相对便宜且有效。
