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A faster and simpler way of operation for Meckel’s diverticulum: basal ligation combined with intraoperative frozen section

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Abstract

Background

The key step in Meckel’s diverticulectomy (MD) is to achieve complete resection of MD along with the ectopic epithelium. Currently main treatment methods for Meckel’s diverticulum are either intestinal resection and anastomosis or wedge resection. Here we introduced a new method to treat MD. The goal of this study was to investigate the clinical effects and advantages of a new operation method for Meckel’s diverticulum: basal ligation combined with intraoperative frozen section.

Methods

262 cases of Meckel’s diverticulum were resected with simple basal ligation operation. Intraoperative frozen pathological section was performed to determine surgery strategies. Based on the existence of basal residual ectopic mucosa, surgery was either terminated or further wedge intestinal resection or bowel resection was performed.

Results

All 262 surgeries were successfully completed. Additional wedge resection or bowel resection was performed in only 23 of them due to the presence of ectopic basal residual gastric mucosa. No ectopic mucosa was found for the other cases, and the operation ended after basal ligation. All patients had no complications such as intestinal fistula, bleeding for 6 months–7.6 years after surgery.

Conclusions

Intraoperative frozen pathological examination can well determine whether ectopic Meckel’s diverticulum mucosa locates at the basal part. Basal ligation is a safe and effective operation method, and it can significantly shorten the operation time and postoperative fasting time.

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Acknowledgements

This work was supported by the grants from the National Natural Science Foundation of China (No. 81460118), Science Technology Foundation of Jiangxi Province (No. 20141BBG70059), and General Program of the Jiangxi Province Health Department (No. 20131136). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

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Authors and Affiliations

  1. Department of General Surgery, Jiangxi Children’s Hospital, No. 122, Yangming Road, Nanchang, 330006, Jiangxi, China

    Jun Lei, Wei Xu, QingQiang Deng, Liang Feng, Qiang Tao & Shouhua Zhang

  2. Department of Pathology, Jiangxi Children’s Hospital, Nanchang, 330006, Jiangxi, China

    Wenping Yang, Hui Huang & Hongyan Xu

  3. Department of Ultrasound, Jiangxi Provincial Maternal and Child Health Hospital, Nanchang, 330006, Jiangxi, China

    Juhua Xiao

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  1. Jun Lei
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  10. Shouhua Zhang
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Correspondence to Shouhua Zhang.

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Disclosures

Jun Lei,Wei Xu, Wenping Yang, Juhua Xiao, Hui Huang, QingQiang Deng, Hongyan Xu, Liang Feng, Qiang Tao, and Shouhua Zhang have no conflicts of interest or financial ties to disclose.

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Lei, J., Xu, W., Yang, W. et al. A faster and simpler way of operation for Meckel’s diverticulum: basal ligation combined with intraoperative frozen section. Surg Endosc 32, 1464–1469 (2018). https://doi.org/10.1007/s00464-017-5833-1

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