Laparoscopic excision of Meckel's diverticulum in children:What is the current evidence?
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摘要
Complications aroused from Meckel's diverticulum tend to developed in children.Children presented with abdominal pain,intestinal obstruction,intussusception or gastrointestinal bleeding may actually suffered from complicated Meckel's diverticulum.With the advancement of minimally invasive surgery(MIS) in children,the use of laparoscopy in the diagnosis and subsequent laparoscopic excision of Meckel's diverticulum has gained popularity.Recently,single incision laparoscopic surgery(SILS) has emerged as a new technique in minimally invasive surgery.This review offers the overview in the development of MIS in the management of children suffered from Meckel's diverticulum.The current evidence in different laparoscopic techniques,including conventional laparoscopy,SILS,the use of special laparoscopic instruments,intracorporeal diverticulectomy and extracorporeal diverticulectomy in the management of Meckel's diverticulum in children were revealed.
Complications aroused from Meckel's diverticulum tend to developed in children.Children presented with abdominal pain,intestinal obstruction,intussusception or gastrointestinal bleeding may actually suffered from complicated Meckel's diverticulum.With the advancement of minimally invasive surgery(MIS) in children,the use of laparoscopy in the diagnosis and subsequent laparoscopic excision of Meckel's diverticulum has gained popularity.Recently,single incision laparoscopic surgery(SILS) has emerged as a new technique in minimally invasive surgery.This review offers the overview in the development of MIS in the management of children suffered from Meckel's diverticulum.The current evidence in different laparoscopic techniques,including conventional laparoscopy,SILS,the use of special laparoscopic instruments,intracorporeal diverticulectomy and extracorporeal diverticulectomy in the management of Meckel's diverticulum in children were revealed.
Complications aroused from Meckel's diverticulum tend to developed in children.Children presented with abdominal pain,intestinal obstruction,intussusception or gastrointestinal bleeding may actually suffered from complicated Meckel's diverticulum.With the advancement of minimally invasive surgery(MIS) in children,the use of laparoscopy in the diagnosis and subsequent laparoscopic excision of Meckel's diverticulum has gained popularity.Recently,single incision laparoscopic surgery(SILS) has emerged as a new technique in minimally invasive surgery.This review offers the overview in the development of MIS in the management of children suffered from Meckel's diverticulum.The current evidence in different laparoscopic techniques,including conventional laparoscopy,SILS,the use of special laparoscopic instruments,intracorporeal diverticulectomy and extracorporeal diverticulectomy in the management of Meckel's diverticulum in children were revealed.
引文
1 Chan KW,Lee KH,Mou JW,Cheung ST,Tam YH.Laparoscopic management of complicated Meckel’s diverticulum in children:a 10-year review.Surg Endosc 2008;22:1509-1512[PMID:18322735 DOI:10.1007/s00464-008-9832-0]
2 Park JJ,Wolff BG,Tollefson MK,Walsh EE,Larson DR.Meckel diverticulum:the Mayo Clinic experience with 1476patients(1950-2002).Ann Surg 2005;241:529-533[PMID:15729078 DOI:10.1097/01.sla.0000154270.14308.5f]
3 Chan KW,Lee KH,Tam YH,Yeung CK.Minimal invasive surgery in pediatric solid tumors.J Laparoendosc Adv Surg Tech A 2007;17:817-820[PMID:18158818 DOI:10.1089/lap.2007.0033]
4 Lee KH,Tam YH,Yeung CK,Chan KW,Sihoe JD,Cheung ST,Mou JW.Laparoscopic excision of choledochal cysts in children:an intermediate-term report.Pediatr Surg Int 2009;25:355-360[PMID:19255762 DOI:10.1007/s00383-009-2343-9]
5 Tam YH,Lee KH,Sihoe JD,Chan KW,Wong PY,Cheung ST,Mou JW.Laparoscopic hernia repair in children by the hook method:a single-center series of 433 consecutive patients.J Pediatr Surg 2009;44:1502-1505[PMID:19635295DOI:10.1016/j.jpedsurg.2008.10.071]
6 Chan KW,Lee KH,Mou JW,Cheung ST,Tam YH.The outcome of laparoscopic portoenterostomy for biliary atresia in children.Pediatr Surg Int 2011;27:671-674[PMID:21286732DOI:10.1007/s00383-011-2859-7]
7 Teitelbaum DH,Polley TZ,Obeid F.Laparoscopic diagnosis and excision of Meckel’s diverticulum.J Pediatr Surg 1994;29 :495-497[PMID:8014801 DOI:10.1016/0022-3468(94)90075-2]
8 Valla JS,Steyaert H,Leculée R,Pebeyre B,Jordana F.Meckel’s diverticulum and laparoscopy of children.What’s newEur J Pediatr Surg 1998;8:26-28[PMID:9550273 DOI:10 .1055/s-2008-1071114]
9 Shalaby RY,Soliman SM,Fawy M,Samaha A.Laparoscopic management of Meckel’s diverticulum in children.J Pediatr Surg 2005;40:562-567[PMID:15793736 DOI:10.1016/j.jpedsurg.2004.11.032]
10 Craigie RJ,Forrest N,Nanthakumaran S,Mahomed AA.Laparoscopy in diagnosis and management of Meckel’s diverticulum.J Laparoendosc Adv Surg Tech A 2006;16:70-73[PMID:16494554 DOI:10.1089/lap.2006.16.70]
11 Prasad TR,Chui CH,Jacobsen AS.Laparoscopic-assisted resection of Meckel’s diverticulum in children.JSLS 2006;10:310 -316[PMID:17212886]
12 Sai Prasad TR,Chui CH,Singaporewalla FR,Ong CP,Low Y,Yap TL,Jacobsen AS.Meckel’s diverticular complications in children:is laparoscopy the order of the dayPediatr Surg Int2007;23:141-147[PMID:17171378 DOI:10.1007/s00383-006-1844-z]
13 Palanivelu C,Rangarajan M,Senthilkumar R,Madankumar MV,Kavalakat AJ.Laparoscopic management of symptomatic Meckel’s diverticula:a simple tangential stapler excision.JSLS 2008;12:66-70[PMID:18402742]
14 Ponsky TA,Diluciano J,Chwals W,Parry R,Boulanger S.Early experience with single-port laparoscopic surgery in children.J Laparoendosc Adv Surg Tech A 2009;19:551-553[PMID:19575633 DOI:10.1089/lap.2009.0092]
15 Vane DW,West KW,Grosfeld JL.Vitelline duct anomalies.Experience with 217 childhood cases.Arch Surg1987;122:542-547[PMID:3495250 DOI:10.1001/archsurg.1987.01400170048007]
16 Rerksuppaphol S,Hutson JM,Oliver MR.Ranitidineenhanced 99mtechnetium pertechnetate imaging in children improves the sensitivity of identifying heterotopic gastric mucosa in Meckel’s diverticulum.Pediatr Surg Int 2004;20:323 -325[PMID:15241619]
17 Poulsen KA,Qvist N.Sodium pertechnetate scintigraphy in detection of Meckel’s diverticulum:is it usableEur J Pediatr Surg 2000;10:228-231[PMID:11034511 DOI:10.1055/s-2008-1072364]
18 Tseng YY,Yang YJ.Clinical and diagnostic relevance of Meckel’s diverticulum in children.Eur J Pediatr 2009;168:1519-1523[PMID:19575216 DOI:10.1007/s00431-009-1023-z]
19 Cooney DR,Duszynski DO,Camboa E,Karp MP,Jewett TC.The abdominal technetium scan(a decade of experience).J Pediatr Surg 1982;17:611-619[PMID:6294268]
20 Mariani G,Pauwels EK,AlSharif A,Marchi S,Boni G,Barreca M,Bellini M,Grosso M,de Bortoli N,Mumolo G,Costa F,Rubello D,Strauss HW.Radionuclide evaluation of the lower gastrointestinal tract.J Nucl Med 2008;49:776-787[PMID:18413380 DOI:10.2967/jnumed.107.040113]
21 Sinha CK,Pallewatte A,Easty M,De Coppi P,Pierro A,Misra D,Biassoni L.Meckel’s scan in children:a review of183 cases referred to two paediatric surgery specialist centres over 18 years.Pediatr Surg Int 2013;29:511-517[PMID:23417523 DOI:10.1007/s00383-013-3270-3]
22 Lee KH,Yeung CK,Tam YH,Ng WT,Yip KF.Laparascopy for definitive diagnosis and treatment of gastrointestinal bleeding of obscure origin in children.J Pediatr Surg 2000;35:1291-1293[PMID:10999681 DOI:10.1053/jpsu.2000.9299]
23 Huang CS,Lin LH.Laparoscopic Meckel’s diverticulectomy in infants:report of three cases.J Pediatr Surg 1993;28:1486-1489[PMID:8301465 DOI:10.1016/0022-3468(93)90437-P]
24 Cobellis G,Cruccetti A,Mastroianni L,Amici G,Martino A.One-trocar transumbilical laparoscopic-assisted management of Meckel’s diverticulum in children.J Laparoendosc Adv Surg Tech A 2007;17:238-241[PMID:17484657 DOI:10 .1089/lap.2006.0036]
25 Krpata DM,Ponsky TA.Instrumentation and equipment for single-site umbilical laparoscopic surgery.Semin Pediatr Surg2011;20:190-195[PMID:21968153 DOI:10.1053/j.sempedsu rg.2011.05.002]
26 Tam YH,Chan KW,Wong YS,Houben CH,Pang KK,Tsui SY,Mou JW,Lee KH.Single-incision laparoscopic surgery in diagnosis and treatment for gastrointestinal bleeding of obscure origin in children.Surg Laparosc Endosc Percutan Tech 2013;23:e106-e108[PMID:23752016 DOI:10.1097/SLE.0b013e3182806517]
27 Tam YH,Lee KH,Sihoe JD,Chan KW,Cheung ST,Pang KK.Initial experience in children using conventional laparoscopic instruments in single-incision laparoscopic surgery.J Pediatr Surg 2010;45:2381-2385[PMID:21129550 DOI:10 .1016/j.jpedsurg.2010.08.036]
28 Garey CL,Laituri CA,Ostlie DJ,Snyder CL,Andrews WS,Holcomb GW,St Peter SD.Single-incision laparoscopic surgery in children:initial single-center experience.J Pediatr Surg 2011;46:904-907[PMID:21616250 DOI:10.1016/j.jpedsurg.2011.02.020]
29 Hattori K,Sato M,Miyauchi Y.Single-incision laparoscopic surgery for small bowel resection with an intraumbilical arcuate incision in children.Asian J Endosc Surg 2012;5:172-175[PMID:23095294 DOI:10.1111/j.1758-5910.2012.00150.x]
30 Schier F,Hoffmann K,Waldschmidt J.Laparoscopic removal of Meckel’s diverticula in children.Eur J Pediatr Surg 1996;6 :38-39[PMID:8721178 DOI:10.1055/s-2008-1066466]
31 Varcoe RL,Wong SW,Taylor CF,Newstead GL.Diverticulectomy is inadequate treatment for short Meckel’s diverticulum with heterotopic mucosa.ANZ J Surg 2004;74:869-872[PMID:15456435 DOI:10.1111/j.1445-1433.2004.03191.x]
32 Ng WT,Wong MK,Kong CK,Chan YT.Laparoscopic approach to Meckel’s diverticulectomy.Br J Surg 1992;79:973 -974[PMID:1422773]
33 Amoury RA,Snyder CL.Meckel’s diverticulum.Pediatric surgery.Louis:Mosby,St.,1988:1173-1184
34 Ding Y,Zhou Y,Ji Z,Zhang J,Wang Q.Laparoscopic management of perforated Meckel’s diverticulum in adults.Int J Med Sci 2012;9:243-247[PMID:22577339 DOI:10.7150/ijms.4170]
35 Rivas H,Cacchione RN,Allen JW.Laparoscopic management of Meckel’s diverticulum in adults.Surg Endosc 2003;17 :620-622[PMID:12582775]P-Reviewer:Fabozzi M,Herbella FAM,Li B,Tanyi M S-Editor:Ma YJ L-Editor:A E-Editor:Wang CHRafael Tojo,Gastroenterology Department,Hospital de Cabuees,33203 Gijón,Asturias,Spain Adolfo Suárez,Gastroenterology Department,Hospital Universitario Central de Asturias(HUCA),33006 Oviedo,Asturias,Spain Marta G Clemente,Respiratory Department,Hospital Universitario Central de Asturias(HUCA),33006 Oviedo,Asturias,Spain Clara G de los Reyes-Gavilán,Abelardo Margolles,Miguel Gueimonde,Patricia Ruas-Madiedo,Department of Microbiology and Biochemistry of Dairy Products,Instituto de Productos Lácteos de Asturias-Consejo Superior de Investigaciones Cientí-ficas(IPLA-CSIC),33300 Villaviciosa,Asturias,Spain Author contributions:Tojo R,Suárez A,Clemente MG,de los Reyes-Gavilán CG,Margolles A,Gueimonde M and RuasMadiedo P contributed equally to this work;Tojo R and Suárez A wrote the section“microbiota and gastrointestinal pathology”;Clemente MG and Margolles A wrote the section“microbiota and extra-intestinal pathology”;de los Reyes-Gavilán CG,Gueimonde M and Ruas-Madiedo P wrote the remaining sections;Tojo R,Suárez A,Clemente MG,de los Reyes-Gavilán CG,Margolles A,Gueimonde M and Ruas-Madiedo P wrote the paper and approved the final draft of the review.
2 Park JJ,Wolff BG,Tollefson MK,Walsh EE,Larson DR.Meckel diverticulum:the Mayo Clinic experience with 1476patients(1950-2002).Ann Surg 2005;241:529-533[PMID:15729078 DOI:10.1097/01.sla.0000154270.14308.5f]
3 Chan KW,Lee KH,Tam YH,Yeung CK.Minimal invasive surgery in pediatric solid tumors.J Laparoendosc Adv Surg Tech A 2007;17:817-820[PMID:18158818 DOI:10.1089/lap.2007.0033]
4 Lee KH,Tam YH,Yeung CK,Chan KW,Sihoe JD,Cheung ST,Mou JW.Laparoscopic excision of choledochal cysts in children:an intermediate-term report.Pediatr Surg Int 2009;25:355-360[PMID:19255762 DOI:10.1007/s00383-009-2343-9]
5 Tam YH,Lee KH,Sihoe JD,Chan KW,Wong PY,Cheung ST,Mou JW.Laparoscopic hernia repair in children by the hook method:a single-center series of 433 consecutive patients.J Pediatr Surg 2009;44:1502-1505[PMID:19635295DOI:10.1016/j.jpedsurg.2008.10.071]
6 Chan KW,Lee KH,Mou JW,Cheung ST,Tam YH.The outcome of laparoscopic portoenterostomy for biliary atresia in children.Pediatr Surg Int 2011;27:671-674[PMID:21286732DOI:10.1007/s00383-011-2859-7]
7 Teitelbaum DH,Polley TZ,Obeid F.Laparoscopic diagnosis and excision of Meckel’s diverticulum.J Pediatr Surg 1994;29 :495-497[PMID:8014801 DOI:10.1016/0022-3468(94)90075-2]
8 Valla JS,Steyaert H,Leculée R,Pebeyre B,Jordana F.Meckel’s diverticulum and laparoscopy of children.What’s newEur J Pediatr Surg 1998;8:26-28[PMID:9550273 DOI:10 .1055/s-2008-1071114]
9 Shalaby RY,Soliman SM,Fawy M,Samaha A.Laparoscopic management of Meckel’s diverticulum in children.J Pediatr Surg 2005;40:562-567[PMID:15793736 DOI:10.1016/j.jpedsurg.2004.11.032]
10 Craigie RJ,Forrest N,Nanthakumaran S,Mahomed AA.Laparoscopy in diagnosis and management of Meckel’s diverticulum.J Laparoendosc Adv Surg Tech A 2006;16:70-73[PMID:16494554 DOI:10.1089/lap.2006.16.70]
11 Prasad TR,Chui CH,Jacobsen AS.Laparoscopic-assisted resection of Meckel’s diverticulum in children.JSLS 2006;10:310 -316[PMID:17212886]
12 Sai Prasad TR,Chui CH,Singaporewalla FR,Ong CP,Low Y,Yap TL,Jacobsen AS.Meckel’s diverticular complications in children:is laparoscopy the order of the dayPediatr Surg Int2007;23:141-147[PMID:17171378 DOI:10.1007/s00383-006-1844-z]
13 Palanivelu C,Rangarajan M,Senthilkumar R,Madankumar MV,Kavalakat AJ.Laparoscopic management of symptomatic Meckel’s diverticula:a simple tangential stapler excision.JSLS 2008;12:66-70[PMID:18402742]
14 Ponsky TA,Diluciano J,Chwals W,Parry R,Boulanger S.Early experience with single-port laparoscopic surgery in children.J Laparoendosc Adv Surg Tech A 2009;19:551-553[PMID:19575633 DOI:10.1089/lap.2009.0092]
15 Vane DW,West KW,Grosfeld JL.Vitelline duct anomalies.Experience with 217 childhood cases.Arch Surg1987;122:542-547[PMID:3495250 DOI:10.1001/archsurg.1987.01400170048007]
16 Rerksuppaphol S,Hutson JM,Oliver MR.Ranitidineenhanced 99mtechnetium pertechnetate imaging in children improves the sensitivity of identifying heterotopic gastric mucosa in Meckel’s diverticulum.Pediatr Surg Int 2004;20:323 -325[PMID:15241619]
17 Poulsen KA,Qvist N.Sodium pertechnetate scintigraphy in detection of Meckel’s diverticulum:is it usableEur J Pediatr Surg 2000;10:228-231[PMID:11034511 DOI:10.1055/s-2008-1072364]
18 Tseng YY,Yang YJ.Clinical and diagnostic relevance of Meckel’s diverticulum in children.Eur J Pediatr 2009;168:1519-1523[PMID:19575216 DOI:10.1007/s00431-009-1023-z]
19 Cooney DR,Duszynski DO,Camboa E,Karp MP,Jewett TC.The abdominal technetium scan(a decade of experience).J Pediatr Surg 1982;17:611-619[PMID:6294268]
20 Mariani G,Pauwels EK,AlSharif A,Marchi S,Boni G,Barreca M,Bellini M,Grosso M,de Bortoli N,Mumolo G,Costa F,Rubello D,Strauss HW.Radionuclide evaluation of the lower gastrointestinal tract.J Nucl Med 2008;49:776-787[PMID:18413380 DOI:10.2967/jnumed.107.040113]
21 Sinha CK,Pallewatte A,Easty M,De Coppi P,Pierro A,Misra D,Biassoni L.Meckel’s scan in children:a review of183 cases referred to two paediatric surgery specialist centres over 18 years.Pediatr Surg Int 2013;29:511-517[PMID:23417523 DOI:10.1007/s00383-013-3270-3]
22 Lee KH,Yeung CK,Tam YH,Ng WT,Yip KF.Laparascopy for definitive diagnosis and treatment of gastrointestinal bleeding of obscure origin in children.J Pediatr Surg 2000;35:1291-1293[PMID:10999681 DOI:10.1053/jpsu.2000.9299]
23 Huang CS,Lin LH.Laparoscopic Meckel’s diverticulectomy in infants:report of three cases.J Pediatr Surg 1993;28:1486-1489[PMID:8301465 DOI:10.1016/0022-3468(93)90437-P]
24 Cobellis G,Cruccetti A,Mastroianni L,Amici G,Martino A.One-trocar transumbilical laparoscopic-assisted management of Meckel’s diverticulum in children.J Laparoendosc Adv Surg Tech A 2007;17:238-241[PMID:17484657 DOI:10 .1089/lap.2006.0036]
25 Krpata DM,Ponsky TA.Instrumentation and equipment for single-site umbilical laparoscopic surgery.Semin Pediatr Surg2011;20:190-195[PMID:21968153 DOI:10.1053/j.sempedsu rg.2011.05.002]
26 Tam YH,Chan KW,Wong YS,Houben CH,Pang KK,Tsui SY,Mou JW,Lee KH.Single-incision laparoscopic surgery in diagnosis and treatment for gastrointestinal bleeding of obscure origin in children.Surg Laparosc Endosc Percutan Tech 2013;23:e106-e108[PMID:23752016 DOI:10.1097/SLE.0b013e3182806517]
27 Tam YH,Lee KH,Sihoe JD,Chan KW,Cheung ST,Pang KK.Initial experience in children using conventional laparoscopic instruments in single-incision laparoscopic surgery.J Pediatr Surg 2010;45:2381-2385[PMID:21129550 DOI:10 .1016/j.jpedsurg.2010.08.036]
28 Garey CL,Laituri CA,Ostlie DJ,Snyder CL,Andrews WS,Holcomb GW,St Peter SD.Single-incision laparoscopic surgery in children:initial single-center experience.J Pediatr Surg 2011;46:904-907[PMID:21616250 DOI:10.1016/j.jpedsurg.2011.02.020]
29 Hattori K,Sato M,Miyauchi Y.Single-incision laparoscopic surgery for small bowel resection with an intraumbilical arcuate incision in children.Asian J Endosc Surg 2012;5:172-175[PMID:23095294 DOI:10.1111/j.1758-5910.2012.00150.x]
30 Schier F,Hoffmann K,Waldschmidt J.Laparoscopic removal of Meckel’s diverticula in children.Eur J Pediatr Surg 1996;6 :38-39[PMID:8721178 DOI:10.1055/s-2008-1066466]
31 Varcoe RL,Wong SW,Taylor CF,Newstead GL.Diverticulectomy is inadequate treatment for short Meckel’s diverticulum with heterotopic mucosa.ANZ J Surg 2004;74:869-872[PMID:15456435 DOI:10.1111/j.1445-1433.2004.03191.x]
32 Ng WT,Wong MK,Kong CK,Chan YT.Laparoscopic approach to Meckel’s diverticulectomy.Br J Surg 1992;79:973 -974[PMID:1422773]
33 Amoury RA,Snyder CL.Meckel’s diverticulum.Pediatric surgery.Louis:Mosby,St.,1988:1173-1184
34 Ding Y,Zhou Y,Ji Z,Zhang J,Wang Q.Laparoscopic management of perforated Meckel’s diverticulum in adults.Int J Med Sci 2012;9:243-247[PMID:22577339 DOI:10.7150/ijms.4170]
35 Rivas H,Cacchione RN,Allen JW.Laparoscopic management of Meckel’s diverticulum in adults.Surg Endosc 2003;17 :620-622[PMID:12582775]P-Reviewer:Fabozzi M,Herbella FAM,Li B,Tanyi M S-Editor:Ma YJ L-Editor:A E-Editor:Wang CHRafael Tojo,Gastroenterology Department,Hospital de Cabuees,33203 Gijón,Asturias,Spain Adolfo Suárez,Gastroenterology Department,Hospital Universitario Central de Asturias(HUCA),33006 Oviedo,Asturias,Spain Marta G Clemente,Respiratory Department,Hospital Universitario Central de Asturias(HUCA),33006 Oviedo,Asturias,Spain Clara G de los Reyes-Gavilán,Abelardo Margolles,Miguel Gueimonde,Patricia Ruas-Madiedo,Department of Microbiology and Biochemistry of Dairy Products,Instituto de Productos Lácteos de Asturias-Consejo Superior de Investigaciones Cientí-ficas(IPLA-CSIC),33300 Villaviciosa,Asturias,Spain Author contributions:Tojo R,Suárez A,Clemente MG,de los Reyes-Gavilán CG,Margolles A,Gueimonde M and RuasMadiedo P contributed equally to this work;Tojo R and Suárez A wrote the section“microbiota and gastrointestinal pathology”;Clemente MG and Margolles A wrote the section“microbiota and extra-intestinal pathology”;de los Reyes-Gavilán CG,Gueimonde M and Ruas-Madiedo P wrote the remaining sections;Tojo R,Suárez A,Clemente MG,de los Reyes-Gavilán CG,Margolles A,Gueimonde M and Ruas-Madiedo P wrote the paper and approved the final draft of the review.