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Clinical outcomes of minimally invasive surgery for Meckel diverticulum: a multicenter study

PURPOSE: Meckel diverticulum (MD), caused by an obliteration defect of the omphalomesenteric duct, is one of the most common congenital anomalies of small intestines. The objective of this study was to review surgical outcomes of MD and evaluate the feasibility of minimally invasive surgery (MIS) in...

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Autores principales: Jung, Hong Sub, Park, Jun Ho, Yoon, Sang Nam, Kang, Byung Mo, Oh, Bo Young, Kim, Jong Wan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Surgical Society 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7520228/
https://www.ncbi.nlm.nih.gov/pubmed/33029480
http://dx.doi.org/10.4174/astr.2020.99.4.213
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author Jung, Hong Sub
Park, Jun Ho
Yoon, Sang Nam
Kang, Byung Mo
Oh, Bo Young
Kim, Jong Wan
author_facet Jung, Hong Sub
Park, Jun Ho
Yoon, Sang Nam
Kang, Byung Mo
Oh, Bo Young
Kim, Jong Wan
author_sort Jung, Hong Sub
collection PubMed
description PURPOSE: Meckel diverticulum (MD), caused by an obliteration defect of the omphalomesenteric duct, is one of the most common congenital anomalies of small intestines. The objective of this study was to review surgical outcomes of MD and evaluate the feasibility of minimally invasive surgery (MIS) in MD. METHODS: We performed a retrospective analysis of the medical records of patients who underwent diverticulectomy for MD at 6 Hallym University-affiliated hospitals between January 2008 and December 2017. All patients underwent either open surgery or MIS. Patients who underwent MIS were subdivided into laparoscopic only diverticulectomy (LOD) or laparoscopic-assisted diverticulectomy (LAD). RESULTS: Of 64 patients, 21 underwent open surgery and 43 underwent MIS. Time to flatus, time to soft food intake, and length of hospital stay were shorter in the MIS group than in the open surgery group (P = 0.047, P = 0.005, and P = 0.015, respectively). Among patients who underwent MIS, the time to flatus and time to soft food intake were longer in the LAD group than in the LOD group (0.3 and 0.9 days, respectively). Multivariate analysis showed that old age and preoperative ileus were independent predictors of complications (P = 0.030 and P = 0.013, respectively). Operation type (open surgery, LOD, or LAD) was not associated with complications. CONCLUSION: The present study showed that MIS is associated with quicker recovery without increasing complications. Therefore, MIS may be a safe alternative to open surgery for MD. An old age and preoperative ileus were associated with a risk of postoperative complications.
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spelling pubmed-75202282020-10-06 Clinical outcomes of minimally invasive surgery for Meckel diverticulum: a multicenter study Jung, Hong Sub Park, Jun Ho Yoon, Sang Nam Kang, Byung Mo Oh, Bo Young Kim, Jong Wan Ann Surg Treat Res Original Article PURPOSE: Meckel diverticulum (MD), caused by an obliteration defect of the omphalomesenteric duct, is one of the most common congenital anomalies of small intestines. The objective of this study was to review surgical outcomes of MD and evaluate the feasibility of minimally invasive surgery (MIS) in MD. METHODS: We performed a retrospective analysis of the medical records of patients who underwent diverticulectomy for MD at 6 Hallym University-affiliated hospitals between January 2008 and December 2017. All patients underwent either open surgery or MIS. Patients who underwent MIS were subdivided into laparoscopic only diverticulectomy (LOD) or laparoscopic-assisted diverticulectomy (LAD). RESULTS: Of 64 patients, 21 underwent open surgery and 43 underwent MIS. Time to flatus, time to soft food intake, and length of hospital stay were shorter in the MIS group than in the open surgery group (P = 0.047, P = 0.005, and P = 0.015, respectively). Among patients who underwent MIS, the time to flatus and time to soft food intake were longer in the LAD group than in the LOD group (0.3 and 0.9 days, respectively). Multivariate analysis showed that old age and preoperative ileus were independent predictors of complications (P = 0.030 and P = 0.013, respectively). Operation type (open surgery, LOD, or LAD) was not associated with complications. CONCLUSION: The present study showed that MIS is associated with quicker recovery without increasing complications. Therefore, MIS may be a safe alternative to open surgery for MD. An old age and preoperative ileus were associated with a risk of postoperative complications. The Korean Surgical Society 2020-10 2020-09-24 /pmc/articles/PMC7520228/ /pubmed/33029480 http://dx.doi.org/10.4174/astr.2020.99.4.213 Text en Copyright © 2020, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/4.0/ Annals of Surgical Treatment and Research is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jung, Hong Sub
Park, Jun Ho
Yoon, Sang Nam
Kang, Byung Mo
Oh, Bo Young
Kim, Jong Wan
Clinical outcomes of minimally invasive surgery for Meckel diverticulum: a multicenter study
title Clinical outcomes of minimally invasive surgery for Meckel diverticulum: a multicenter study
title_full Clinical outcomes of minimally invasive surgery for Meckel diverticulum: a multicenter study
title_fullStr Clinical outcomes of minimally invasive surgery for Meckel diverticulum: a multicenter study
title_full_unstemmed Clinical outcomes of minimally invasive surgery for Meckel diverticulum: a multicenter study
title_short Clinical outcomes of minimally invasive surgery for Meckel diverticulum: a multicenter study
title_sort clinical outcomes of minimally invasive surgery for meckel diverticulum: a multicenter study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7520228/
https://www.ncbi.nlm.nih.gov/pubmed/33029480
http://dx.doi.org/10.4174/astr.2020.99.4.213
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