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| 1 | Laparoscopic approach to Meckel's diverticulum显示文摘AIM: To retrospective review the laparoscopic management of Meckel Diverticulum(MD) in two Italian Pediatric Surgery Centers.METHODS: Between January 2002 and December 2012, 19 trans-umbilical laparoscopic-assisted(TULA) procedures were performed for suspected MD. The children were hospitalized for gastrointestinal bleeding and/or recurrent abdominal pain. Median age at diagnosis was 5.4 years(range 6 mo-15 years). The study included 15 boys and 4 girls. All patients underwent clinical examination, routine laboratory tests, abdominal ultrasound and technetium-99m pertechnetate scan, and patients with bleeding underwent gastrointestinal endoscopy. The abdominal exploration was performed with a 10 mm operative laparoscope. Pneumoperitoneum was establishedbased on the body weight. Systematic overview of the peritoneal cavity allowed the ileum to be grasped with an atraumatic instrument. The complete exploration and surgical treatment of MD were performed extracorporeally, after intestinal exteriorization through the umbilicus. All patients' demographics, main clinical features, diagnostic investigations, operative time, histopathology reports, conversion rate, hospital stay and complications were registered and analyzed.RESULTS: MD was identified in 17 patients, while 1 had an ileal duplication and 1 a jejunal hemangioma. Fifteen patients had painless intestinal bleeding, while 4 had recurrent abdominal pain and exhibited cyst like structures in an ultrasound study. Eleven patients had a positive technetium-99m pertechnetate scan. In the patients with bleeding, gastrointestinal endoscopy did not name the source of hemorrhage. All patients were subjected to a TULA surgical procedure. An intestinal resection/anastomosis was performed in 14 patients, while 4 had a wedge resection of the diverticulum and 1 underwent stapling diverticulectomy. All surgical procedures were performed without conversion to open laparotomy. Mean operative time was 75 min(range 40-115 min). No major surgical complications were recorded. The median hospital stay was 5-7 d(range 4-13 d). All patients are asymptomatic at a median follow up of 4, 5 years(range 10 mo-10 years).CONCLUSION: Trans-umbilical laparoscopic-assisted Meckel's diverticulectomy is safe and effective in the treatment of MD, with excellent results. | Alfonso Papparella Fabiano Nino Carmine Noviello Antonio Marte Pio Parmeggiani Ascanio Martino Giovanni Cobellis | 2014 | World Journal of Gastroenterology2014，20，25： | 7 |
| 2 | Epilepsy and malformations of the cerebral cortex显示文摘 | Guerrini R Sicca F Parmeggiani L | 2003 | Epileptic Disord2003，5，2： | 1 |
| 3 | Comparison between echo-color Doppler sonography features and angioarchitecture of thyroid nodules 显示文摘 | Foschini M P Ragazzi M Parmeggiani A L | 2007 | Int J Surg Pathol2007，15，2： | 1 |
| 4 | Epilepsy and malformations of the cerebral cortex显示文摘 | GUERRINI R SICCA F PARMEGGIANI L | 2003 | Epileptic Disord2003，5，2： | 1 |
| 5 | Narcolepsy-cataplexy associated with precocious puberty显示文摘 | Plazzi G Parmeggiani A Mignot E | | 0，，： | 1 |
| 6 | The intellectual structure of product innovation research: a bib- liometric study of the journal of product innovation manage- ment,1984-2004显示文摘 | B DURISIN G CALABRETTA V PARMEGGIANI | 2010 | Journal o f Product Innovation Man- agement2010，27，3： | 1 |
| 7 | Drug-in- duced hepatotoxicity: clinical and biochemical features of 26 patients and a review of the literatttre显示文摘 | Mengoli M Parmeggiani D Mengoli MC | 2011 | Recenti Prog Med2011，102，6： | 1 |
| 8 | Epilepsy and malformations of the cerebral cortex 显示文摘 | Guerrini R Sicca F Parmeggiani L | 2003 | Epileptic Disorders2003，5，2： | 1 |
| 9 | Mechanism of action of kirromycin-like antibiotics显示文摘 | Parmeggiani A Swart G W M | 1985 | Annu Rev Microbiol1985，39，1： | 1 |
| 10 | Impact of coagulation-balance gene predictors on efficacy of photodynamic therapy for choroidal neovascularization in pathologic myopia显示文摘 | Parmeggiani F Gemmati D Costagliola C | 2010 | Ophthalmology2010，117，3： | 1 |
| 11 | Galaetomannan detec tion in Geotriehum capitatum invasive infections: report of 2 new cases and review of diagnostic options显示文摘 | Bonini A Capatti C Parmeggiani M | 2008 | Diagn Microbiol Infect Dis2008，62，4： | 1 |
| 12 | Biliary tract injuries during laparoscopic cholecystectomy:three case reports and lit-erature review显示文摘 | Parmeggiani D Cimmino G Cerbone D | 2010 | G Chir2010，31，12： | 1 |
| 13 | Biliary tract injuries during laparoscopic cholecystectomy : three case reports and litera- ture review显示文摘 | Parmeggiani D Cimmino G Cerbone D | 2010 | G Chir2010，31，12： | 1 |
| 14 | 12-Month retrospective study and review of photodynamic therapy with verteporfin for subfoveal choroidal neovascularization in age-related macular degeneration'显示文摘 | Incorvaia C Campa C Parmeggiani F | 2008 | Retina2008，28，： | 1 |
| 15 | Healthcare work- ers and health care - associated infections :knowledge, atti- tudes, and behavior in emergency departments in Italy 显示文摘 | Parmeggiani C Abbate R Marinelli P | 2010 | BMC Infection Diseases2010，23，10： | 1 |
| 16 | Exarcerbation of epileptic seizures by carbamazepine: Report of ten cases显示文摘 | Fraticelli E Rossi PG | 1998 | Seizure1998，7，6： | 1 |
| 17 | Congenital adrenal hyperplasia due to 21-hydroxylase deficiency associated with bilateral keratoconus显示文摘 | Incorvaia C Parmeggiani F Costagliola C | 2003 | Am J Ophthalmol2003，135，4： | 1 |
| 18 | Energy transduction of isothermal ratchets: Generic aspects and specific examples Close to and far from equilibrium显示文摘 | Parmeggiani A Julicher F AJDARI A | 1999 | Phys Rev1999，60，： | 1 |
| 19 | Comparison between echo-color Doppler sonography features and angioarchitecture of thyroid nodules 显示文摘 | FOSCHINI M P RAGAZZI M PARMEGGIANI AL | 2007 | Inter J Surg Pathol2007，15，2： | 1 |
| 20 | EEG features and epilepsy in patients with autism显示文摘 | Rossi PG Parmeggiani A Bach V | 1995 | Brain Dev1995，17，3： | 1 |
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