Bona Davide, Schipani Luigi Stefano, Nencioni Marco, Rubino Barbara, Bonavina Luigi
Department of Surgery, U.O. Chirurgia Generale, Universita di Milano, IRCCS Policlinico San Donato, Via Morandi 30, San Donato Milanese, Milan, Italy.
World J Gastroenterol. 2008 Aug 21;14(31):4961-3. doi: 10.3748/wjg.14.4961.
The management of Meckel diverticulum found unexpectedly during an abdominal operation remains controversial. Most published reports have included only patients undergoing diverticulectomy or bowel resection through laparotomy. We report a case of a carcinoid tumor in a Meckel's diverticulum which was incidentally detected and removed during laparoscopic inguinal hernia repair. Although there is no compelling evidence in the literature to recommend prophylactic diverticulectomy, laparoscopic stapled resection represents a viable and safe approach in healthy individuals undergoing elective surgery for other purposes.
在腹部手术中意外发现的梅克尔憩室的处理仍存在争议。大多数已发表的报告仅纳入了通过剖腹手术进行憩室切除术或肠切除术的患者。我们报告一例在腹腔镜腹股沟疝修补术中偶然发现并切除的梅克尔憩室内类癌肿瘤病例。尽管文献中没有令人信服的证据推荐预防性憩室切除术，但对于因其他目的接受择期手术的健康个体，腹腔镜吻合器切除术是一种可行且安全的方法。
