Copyright
©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Aug 21, 2008; 14(31): 4961-4963
Published online Aug 21, 2008. doi: 10.3748/wjg.14.4961
Published online Aug 21, 2008. doi: 10.3748/wjg.14.4961
Laparoscopic resection for incidentally detected Meckel diverticulum
Davide Bona, Luigi Stefano Schipani, Marco Nencioni, Luigi Bonavina, Department of Surgery, IRCCS Policlinico San Donato, University of Milan, Milano 20137, Italy
Barbara Rubino, Pathology Unit, Istituto Clinico Sant’Ambrogio, Milano 20137, Italy
Author contributions: Schipani LS and Nencioni M collected the clinical data; Rubino B performed the histological examination, Bona D and Bonavina L wrote the paper.
Correspondence to: Luigi Bonavina, Professor and Chief, Department of Surgery, U.O. Chirurgia Generale, Università di Milano, IRCCS Policlinico San Donato, Via Morandi 30, 20097 San Donato Milanese, Milano 20137, Italy. luigi.bonavina@unimi.it
Telephone: +39-2-52774621 Fax: +39-2-52774622
Received: June 20, 2008
Revised: July 19, 2008
Accepted: July 26, 2008
Published online: August 21, 2008
Revised: July 19, 2008
Accepted: July 26, 2008
Published online: August 21, 2008
Abstract
The management of Meckel diverticulum found unexpectedly during an abdominal operation remains controversial. Most published reports have included only patients undergoing diverticulectomy or bowel resection through laparotomy. We report a case of a carcinoid tumor in a Meckel’s diverticulum which was incidentally detected and removed during laparoscopic inguinal hernia repair. Although there is no compelling evidence in the literature to recommend prophylactic diverticulectomy, laparoscopic stapled resection represents a viable and safe approach in healthy individuals undergoing elective surgery for other purposes.