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Shiraishi T, Tominaga T, Nonaka T, et al. A case of single-incision laparoscopic surgery for a bleeding Meckel's diverticulum diagnosed pre-operatively by double-balloon endoscopy. Int J Surg Case Rep. 2017;33:67-70doi: 10.1016/j.ijscr.2017.02.037.
Shiraishi, T., Tominaga, T., Nonaka, T., Wakata, K., Kunizaki, M., Tobinaga, S., Sumida, Y., Hidaka, S., Kinoshita, N., Sawai, T., & Nagayasu, T. (2017). A case of single-incision laparoscopic surgery for a bleeding Meckel's diverticulum diagnosed pre-operatively by double-balloon endoscopy. International journal of surgery case reports, 3367-70. https://doi.org/10.1016/j.ijscr.2017.02.037
Shiraishi, Toshio, et al. "A case of single-incision laparoscopic surgery for a bleeding Meckel's diverticulum diagnosed pre-operatively by double-balloon endoscopy." International journal of surgery case reports vol. 33 (2017): 67-70. doi: https://doi.org/10.1016/j.ijscr.2017.02.037
Shiraishi T, Tominaga T, Nonaka T, Wakata K, Kunizaki M, Tobinaga S, Sumida Y, Hidaka S, Kinoshita N, Sawai T, Nagayasu T. A case of single-incision laparoscopic surgery for a bleeding Meckel's diverticulum diagnosed pre-operatively by double-balloon endoscopy. Int J Surg Case Rep. 2017;33:67-70. doi: 10.1016/j.ijscr.2017.02.037. Epub 2017 Feb 22. PMID: 28278439; PMCID: PMC5342979.
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Int J Surg Case Rep. 2017;33:67-70. doi: 10.1016/j.ijscr.2017.02.037. Epub 2017 Feb 22.

A case of single-incision laparoscopic surgery for a bleeding Meckel's diverticulum diagnosed pre-operatively by double-balloon endoscopy.

International journal of surgery case reports

Toshio Shiraishi, Tetsuro Tominaga, Takashi Nonaka, Kouki Wakata, Masaki Kunizaki, Shuichi Tobinaga, Yorihisa Sumida, Shigekazu Hidaka, Naoe Kinoshita, Terumitsu Sawai, Takeshi Nagayasu

Affiliations

  1. Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan. Electronic address: [email protected].
  2. Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan. Electronic address: [email protected].
  3. Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan. Electronic address: [email protected].
  4. Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan. Electronic address: [email protected].
  5. Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan. Electronic address: [email protected].
  6. Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan. Electronic address: [email protected].
  7. Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan. Electronic address: [email protected].
  8. Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan. Electronic address: [email protected].
  9. Department of Pathology, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan. Electronic address: [email protected].
  10. Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan. Electronic address: [email protected].
  11. Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan. Electronic address: [email protected].

PMID: 28278439 PMCID: PMC5342979 DOI: 10.1016/j.ijscr.2017.02.037

Abstract

INTRODUCTION: 　Meckel's diverticulum (MD) is a congenital true diverticulum that is residual yolk duct tissue, and some cases with complications require surgery. It has been reported that laparoscopic surgery is effective for patients with an MD.

PRESENTATION OF CASE: A 79-year-old man with melena visited our hospital. Upper gastrointestinal series and colonoscopy showed no bleeding lesion. Double-balloon endoscopy was then performed to examine the small intestine. The examination showed a large diverticulum 80cm proximal to the ileocecal valve and a circular ulcer. MD resection was performed using single-incision laparoscopic surgery (SILS) technique through a 3-cm zig-zag incision in the umbilicus. Three ports were inserted for the scope and forceps devices. The MD was located 80cm proximal to the ileocecal valve. There were no other intestinal lesions. From the wound, the lesion could be easily moved outside the body. The MD including the ulcer lesion was then resected. The patient's postoperative course was good, and he rarely felt wound pain. He started dietary intake three days after surgery and was discharged from hospital eight days after surgery.

DISCUSSION: SILS technique has attracted attention in the field of laparoscopic surgery. Using a single port with multiple working channels, SILS can reduce the number of incisions and the rates of incisional hernia port site-related complications, as well as improve cosmesis.

CONCLUSION: A definite diagnosis of an MD was made by double-balloon endoscopy preoperatively. The SILS approach was effective for cosmesis, postoperative pain, and a shortened hospital stay.

Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Keywords: Bleeding; Case report; Meckel’s diverticulum; Single-port laparoscopic surgery

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