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| Clinical Analysis of the Diagnosis and Treatment of Children's Merkel's Diverticulum by Laparoscopic Single Site Laparoscopy |
| Aerxin·habuding, YAN Jinghao, LI Kai, et al |
| The People's Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Wulumuqi 830001, China |
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Abstract Objective: To explore the application of transumbilical laparoscopy in the diagnosis and treatment of Meckel’s diverticulum (MD) in children. Methods: The data of 29 cases of Meckel’s diverticulum in children who underwent transumbilical laparoscopic Meckel's diverticulectomy in our hospital from May 2013 to May 2018 were analyzed retrospectively. Of 29 cases, 19 cases complained of intermittent hematochezia (group A), 10 cases were admitted with abdominal pain (group B). Preoperative electronic gastroscopy and fiberoptic colonoscopy were perfected in 19 children with intermittent hematochezia history, but the cause of hematochezia history could not be determined. Preoperative isotope digestive tract scanning was perfected. Eleven children showed high concentration of isotopes in the lower abdomen, and eight children showed no accumulation of isotopes in the digestive tract. Ten children who complained of abdominal pain were admitted to hospital. No Meckel's diverticulum was detected by B-mode ultrasound before operation. Result: All the children recovered well after operation. Follow-up for 3 months showed that there was no hematochezia in group A and no abdominal pain in group B. Conclusion: In the diagnosis and treatment of Meckel's diverticulum in children, transumbilical single-site laparoscopy has the advantages of scarless, less trauma, and has a certain clinical value.
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2019, Vol. 25 
