Sanders L E
Department of General Surgery, Lahey Clinic Medical Center, Burlington, MA 01805, USA.
Surg Endosc. 1995 Jun;9(6):724-7. doi: 10.1007/BF00187950.
We present two cases in which complication of a Meckel's diverticulum were dealt with, and in one case diagnosed using the laparoscope. One was a large bleeding diverticulum containing ectopic gastric mucosa, with the diagnosis suggested preoperatively, confirmed laparoscopically, and the pathology resected extracorporeally. The second was a partial intermittent small-bowel obstruction due to torsion around the mesodiverticular band, diagnosed and resected via the laparoscope. The literature of Meckel's diverticula and complications is reviewed, with open and laparoscopic treatment options. Although uncommon, many cases of Meckel's diverticulum may be quite suitable for laparoscopic diagnosis and treatment.
我们介绍了两例处理梅克尔憩室并发症的病例，其中一例是通过腹腔镜进行诊断的。一例是一个含有异位胃黏膜的大出血憩室，术前提示诊断，经腹腔镜确认，并在体外切除病变组织。另一例是由于憩室系膜带扭转导致的部分间歇性小肠梗阻，通过腹腔镜进行诊断和切除。本文回顾了梅克尔憩室及其并发症的相关文献，以及开放手术和腹腔镜手术的治疗选择。尽管梅克尔憩室并不常见，但许多病例可能非常适合腹腔镜诊断和治疗。
