- 期刊
Laparoscopic Surgery for Complicated Meckel's Diverticulum: Report of Three Cases
複雜性Meckel氏憩室的腹腔鏡手術治療：三病例報告
摘要
Meckel氏憩室是胃腸道最常見的先天性異常，但只有4%的病例會造成症狀或發生併發症。Meckel氏憩室的併發症和病人的年紀有關。小孩子一般發生無痛性的腸胃道出血，而大人則常以小腸阻塞來表現。Meckel氏憩室炎甚至合併穿孔也是一種常見的併發症，但術前常被診斷為急性闌尾炎而在術中才發現。我們報告三個術前診斷為急性闌尾炎並用腹腔鏡手術的病人，其真正的病因是有併發症的Meckel氏憩室。其中一個病人因憩室穿孔在基部而採用腹腔鏡輔助體外迴腸楔狀切除，另外兩個病人則採用腹腔鏡憩室切除。三個病人術後都恢復良好，順利出院，無併發症。本文同時也回顧文獻報告，探討有併發症的Meckel氏憩室的腹腔鏡手術治療方式。
關鍵字
無資料並列摘要
Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract, but only 4% of cases may cause symptoms or develop complications. The complications associated with Meckel's diverticulum are age-related. Children usually have painless gastrointestinal bleeding while adults can develop small intestinal obstruction. Meckel's diverticulitis with or without perforation is also a common complication. It is usually misdiagnosed as acute appendicitis preoperatively. We present three cases of complicated Meckel's diverticulum that were found and treated by a laparoscopic approach under the preoperative diagnosis of acute appendicitis. The literature is also reviewed for the optimal laparoscopic treatment of complicated Meckel's diverticulum.
延伸閱讀
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