Experiencia en el tratamiento del divertículo de Meckel con abordaje abierto versus laparoscópico-asistido supraumbilical en niños.

Abstract

Introduction: Meckel's diverticulum (M sD) is the most common congenital intestinal malformation diag- nosed intraoperatively and requires surgical resolution once the diagnosis is known. The present study de- scribes the experience in the open and laparoscopic surgical treatment of M sD. Methodology: This cross-sectional - retrospective study was carried out in children treated at the Dr. Roberto Gilbert Elizalde Children's Hospital, Guayaquil - Ecuador, for over eight years with a diagnosis of Meckel's diverticulum; variables such as age, sex, symptoms, post-surgical diagnosis, surgical technique, hospital stay, complications, biopsy results, clinical presentation are analyzed. Univariate descriptive statistics are used. Results: 81 cases were analyzed, 52 men (64%), 25 infants (31%), 23 adolescents (2 8%). 50 cases (62%) pre- sented as acute abdomen, and 17 cases (21%) presented as intestinal hemorrhage. Incidental MD during acute appendicitis was performed incidentally in 23 cases (52%). 67 cases (83%) underwent open surgery, and 14 (17%) underwent combined surgery. Complications were 8/67 cases (11.9%) in open surgery and 1/14 cases (7.1%) in combined surgery (P=0.60). Conclusion: Laparoscopic resection of M sD did not increase the risk of morbidity or operative time.