Laparoscopy-assisted trans-umbilical Meckel's diverticulectomy described in pediatric case series
This case series and narrative literature review examined laparoscopy-assisted trans-umbilical Meckel's diverticulectomy (LATUM) in pediatric patients with Meckel's diverticulum complicated by internal hernia. The analysis included 3 consecutive pediatric cases (median age 7 years, range 7-11) from the authors' institution and 25 cases identified through literature review. No comparator group was reported.
In the 3-case series, LATUM was completed without conversion to open surgery. Median operative time was 65 minutes, estimated blood loss was 10 mL, time to first flatus was 24 hours, and hospital stay was 7.5 days. No complications occurred during a median follow-up of 16 months. The literature review of 25 cases found that 9 cases (32.14%) used LATUM, 8 cases (28.57%) used open resection, and 11 cases (39.29%) did not describe the surgical approach.
Safety data from the case series showed no reported complications, adverse events, or discontinuations. Tolerability was not reported. Key limitations include the retrospective, uncontrolled design; small sample size; and lack of comparative effectiveness data. The literature review component was narrative rather than systematic. Funding sources and conflicts of interest were not reported.
For practice, this report describes a surgical technique option in a specific pediatric complication scenario. The authors suggest LATUM may offer a minimally invasive approach, but the evidence remains preliminary. Clinical decisions should be based on individual patient factors and surgeon experience, as no comparative data on outcomes versus standard approaches are presented.
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