Advances in Pediatric Surgery

"Meckel diverticulum"

Original Article

[English]

Perioperative outcomes of laparoscopic-assisted diverticulectomy versus small bowel resection for Meckel diverticulum in South Korea: a retrospective cohort study: Ibrahim Ahmed Albujays, Wontae Kim, Sanghoon Lee, Jeong-Meen Seo, Sungjoo Park; Adv Pediatr Surg 2026;32(1):27-33. Published online June 22, 2026; DOI: https://doi.org/10.13029/aps.2026.00038

Abstract
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Purpose
This study aimed to compare perioperative outcomes between laparoscopic-assisted diverticulectomy and laparoscopic-assisted small bowel resection for Meckel diverticulum.
Methods
This single-center retrospective comparative cohort study included 39 patients who underwent laparoscopic-assisted surgery for Meckel diverticulum at Samsung Medical Center, Korea, between June 2010 and December 2023. Patients were classified into the laparoscopic-assisted diverticulectomy group or the laparoscopic-assisted small bowel resection group. Baseline characteristics, preoperative presentation, operative time, time to first oral feeding, postoperative hospital stay, complications, reoperation, and follow-up outcomes were compared between groups.
Results
Of the 39 patients, 19 underwent laparoscopic-assisted diverticulectomy and 20 underwent laparoscopic-assisted small bowel resection. Baseline characteristics and preoperative presentation did not differ significantly between groups. Operative time was significantly shorter in the diverticulectomy group than in the small bowel resection group (median, 55.0 vs. 76.0 minutes; P=0.002). Time to first oral feeding did not differ significantly between groups (median, 2 days [2–2 days] vs. 2 days [1–3 days]; P=0.397). Postoperative hospital stays also did not differ significantly between groups (median, 4 days [3–4 days] vs. 4 days [4–5 days]; P=0.118), although hospitalization tended to be longer in the laparoscopic-assisted small bowel resection group. No statistically significant difference in complication rates was observed between groups; however, the number of events was low, limiting definitive comparison.
Conclusion
Laparoscopic-assisted diverticulectomy was associated with shorter operative time and a tendency toward shorter postoperative hospital stay than small bowel resection, without an observed increase in early complications. It may be a reasonable option for carefully selected patients with uncomplicated Meckel diverticulum.

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Case Report

[English]

Panperitonitis due to Perforation of Meckel Diverticulum in Infant Period: Dong-Won Lee, Sung-Woo Cho, Seung-Hyun Lee, Dong-Baek Kang, Seung-Taek Yu; J Korean Assoc Pediatr Surg 2015;21(2):38-41. Published online December 22, 2015; DOI: https://doi.org/10.13029/jkaps.2015.21.2.38

Abstract
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The perforation and subsequent panperitonitis as one of the complications of a Meckel diverticulum is a rare complication, especially in infants. Complication of Meckel diverticulum, preoperative and operative patient's mean age is about 5 years old. A 13-month-old male infant presented at our emergency room with currant jelly stool of about 24 hours duration. Intussusception or bacterial enteritis was initially suspected. Gastrointestinal ultrasonography showed no evidence of intussusception or appendicitis. On the 3rd hospital day, he suddenly showed high fever and irritability. Abdominal CT suggested intraperitoneal and retroperitoneal abscess with air collection due to possible bowel perforation. The final diagnosis of perforation of Meckel diverticulum was made by laparoscopy and biopsy. We report a very rare case with perforation of Meckel diverticulum in infant period.

Citations

Citations to this article as recorded by

Perforated Meckel’s Diverticulum in an Infant: A Case Report and Review of the Literature
Kostas Tepelenis, Maria Alexandra Kefala, Margarita Efthalia Papasavva, Aikaterini Gkrepi, Vasiliki Tsanaka, Vasilios Grammeniatis, Konstantina Georgopoulou, Gerasimia D Kyrochristou, Ilektra Kyrochristou, Vasiliki Gketsi
Cureus.2025;[Epub] CrossRef
A Febrile Infant With Abdominal Erythema and Irritability
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Clinical Pediatrics.2023; 62(12): 1591. CrossRef
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