Valla J S, Steyaert H, Leculée R, Pebeyre B, Jordana F
Fondation Lenval, Nice, France.
Eur J Pediatr Surg. 1998 Feb;8(1):26-8. doi: 10.1055/s-2008-1071114.
Laparoscopy has not changed the diagnostic approach in Meckel's diverticulum (MD). Preoperative echography and scintigraphy are still indicated in case of symptomatic diverticulum. During each submesocolic laparoscopy we must meticulously look for Meckel's diverticulum. There are two surgical procedures for MD resection: 1. Short intestinal resection after exteriorization (celio-assisted surgery) is advocated in young patients or in complicated MD. 2. Laparoscopic resection by the Endo GIA stapler is advocated in older patients and latent MD with a narrow base.
腹腔镜检查并未改变梅克尔憩室（MD）的诊断方法。对于有症状的憩室，术前超声检查和闪烁扫描仍有必要。在每次结肠系膜下腹腔镜检查过程中，我们必须仔细寻找梅克尔憩室。MD切除有两种手术方法：1. 对于年轻患者或复杂MD，主张在将憩室拖出后进行短肠切除术（腹腔辅助手术）。2. 对于老年患者和基底狭窄的潜在MD，主张使用内镜切割吻合器进行腹腔镜切除。
