Chiengkriwate Piyawan, Patrapinyokul Sakda, Sangkhathat Surasak, Chowchuvech Vorapong
Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
J Med Assoc Thai. 2007 May;90(5):931-5.
BACKGROUND/OBJECTIVE: With regard to the recent interest in minimally invasive surgery, the authors report on a technique of transumbilical incision for Meckel s diverticulum and appendectomy, which provides better cosmetic results and no increase in complications.
The case records of 18 consecutive Meckel's diverticulum (MD) patients who were treated at Songklanagarind Hospital in Thailand between 1996 and 2005 were reviewed.
The male-female ratio was 14-4 (3.5:1). Of the 15/18 (83.3%) symptomatic cases, presenting symptoms were bleeding 10/15 (66.7%), gut obstruction 2/15 (13.3%), peritonitis 2/15 (13.3%), and intussusception 1/15 (6.7%). All bleeding patients were children (age 1-15 years), 9/10 (90%) Meckel scan positive and 10/10 (100%) ectopic-gastic tissue. Four children underwent a circumumbilical incision. There were no perioperative or long-term complications related to the transumbilical approach.
The umbilical incision has all the benefits of a minimal access approach. Umbilical incision is a safe, inexpensive, cosmetically pleasing, and easy technique. This minimally invasive surgery does not require long-term specialized training or special equipment.
背景/目的：鉴于近期对微创手术的关注，作者报道了一种经脐切口行美克尔憩室切除术和阑尾切除术的技术，该技术能提供更好的美容效果且不增加并发症。
回顾了1996年至2005年间在泰国宋卡那卡琳医院接受治疗的18例连续性美克尔憩室（MD）患者的病例记录。
男女比例为14比4（3.5比1）。在15/18（83.3%）有症状的病例中，出现的症状为出血10/15（66.7%）、肠梗阻2/15（13.3%）、腹膜炎2/15（13.3%）和肠套叠1/15（6.7%）。所有出血患者均为儿童（年龄1至15岁），9/10（90%）美克尔扫描阳性，10/10（100%）有异位胃组织。4名儿童接受了脐周切口。没有与经脐入路相关的围手术期或长期并发症。
脐部切口具有微创入路的所有优点。脐部切口是一种安全、廉价、美观且简便的技术。这种微创手术不需要长期的专业培训或特殊设备。
