Topic Highlight
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 7, 2014; 20(41): 15158-15162
Published online Nov 7, 2014. doi: 10.3748/wjg.v20.i41.15158
Laparoscopic excision of Meckel's diverticulum in children: What is the current evidence?
Kin Wai Edwin Chan, Kim Hung Lee, Hei Yi Vicky Wong, Siu Yan Bess Tsui, Yuen Shan Wong, Kit Yi Kristine Pang, Jennifer Wai Cheung Mou, Yuk Him Tam
Kin Wai Edwin Chan, Kim Hung Lee, Hei Yi Vicky Wong, Siu Yan Bess Tsui, Yuen Shan Wong, Kit Yi Kristine Pang, Jennifer Wai Cheung Mou, Yuk Him Tam, Division of Paediatric Surgery and Paediatric Urology, Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
Author contributions: Chan KWE contributed to the study design, literature search, manuscript writing and final revision of the article; Wong HYV, Tsui SYB, Wong YS, Pang KYK and Mou JWC performed the research; Lee KH and Tam YH contributed to supervision.
Correspondence to: Kin Wai Edwin Chan, MBChB, FRCSEd (Paed), FCSHK, FHKAM(Surgery), Division of Paediatric Surgery and Paediatric Urology, Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China. edwinchan@surgery.cuhk.edu.hk
Telephone: +86-852- 26322953 Fax: +86-852-26324669
Received: November 6, 2013
Revised: March 6, 2014
Accepted: June 2, 2014
Published online: November 7, 2014
Processing time: 369 Days and 0.4 Hours
Abstract

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.

Keywords: Laparoscopy; Meckel’s diverticulum; Children

Core tip: With the advances in the development of minimally invasive surgery in children, laparoscopic excision of Meckel’s diverticulum has gained popularity. New technique including single incision laparoscopic surgery (SILS) in the management of Meckel’s diverticulum was reported. This review offers the overview of 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.