Huang C S, Lin L H
Department of Surgery, Cathay General Hospital, Taipei, Taiwan.
J Pediatr Surg. 1993 Nov;28(11):1486-9. doi: 10.1016/0022-3468(93)90437-p.
Three infants younger than 2 years presented with episodic bloody-to-tarry stool of moderate amount. Two of them were diagnosed to have Meckel's diverticulum because of a positive 99mTc pertechnetate scan. Although the third infant had two negative radionuclide scans within 3 months, Meckel's diverticulum was still suspected by exclusion studies. All three infants underwent laparoscopic surgery. At laparoscopy, a Meckel's diverticulum was identified in all. Besides, an ileoileo intussusception just proximal to the diverticulum was also found in one patient. Reduction of the intussusception and diverticulectomy were performed successfully by laparoscopic procedure. Compared with conventional laparotomy, this procedure has the advantages of direct preoperative visual confirmation of the diagnosis, less traumatic access, much shorter recovery period and perhaps fewer intraoperative and postoperative complications. And thus, laparoscopic surgery has the potential of becoming regular treatment for symptomatic Meckel's diverticulum of infants.
三名2岁以下的婴儿出现了中等量的间歇性血便至柏油样便。其中两名婴儿因99m锝高锝酸盐扫描呈阳性而被诊断为梅克尔憩室。尽管第三名婴儿在3个月内进行了两次放射性核素扫描均为阴性，但通过排除性检查仍怀疑为梅克尔憩室。所有三名婴儿均接受了腹腔镜手术。在腹腔镜检查中，所有婴儿均发现了梅克尔憩室。此外，其中一名患者在憩室近端还发现了回肠套叠。通过腹腔镜手术成功进行了套叠复位和憩室切除术。与传统剖腹手术相比，该手术具有术前直接视觉确诊、创伤小、恢复时间短以及术中及术后并发症可能更少的优点。因此，腹腔镜手术有可能成为婴儿有症状梅克尔憩室的常规治疗方法。
