Semra DEMİRLİ ATICI, Ufuk UYLAŞ, Cem TUĞMEN, Erdinç KAMER

Semptomatik ve İnsidental Meckel Divertiküllerinde Uygulanan Divertikülektominin Postoperatif Komplikasyonlarının Karşılaştırılması

Amaç: Erişkinlerde insidental saptanan Meckel divertikülünün (MD) yönetimi tartışmalıdır. Bu çalışmanın amacı, insidental ve semptomatik MD’de uygulanan divertikülektominin postoperatif komplikasyonlarının karşılaştırılmasıdır. Gereç ve Yöntemler: Kliniğimizde Ocak 2010-Aralık 2020 arasında cerrahi olarak tedavi edilen erişkin MD saptanan hastaların dosyaları incelendi. Hastalar semptomatik ve insidental divertiküllere sahip olmalarına göre iki gruba ayrıldı. Gruplar arasında yaş, cinsiyet, preoperatif laboratuvar değerleri, histopatoloji, hastanede kalış süresi ve postoperatif komplikasyonlar karşılaştırıldı. Bulgular: Çalışmaya semptomatik (Grup 1,%78,3) ve insidental (Grup 2,%21,7) olmak üzere 46 hasta dahil edildi. Erkek hastaların sayısı daha fazla olup erkek/kadın oranı 30/16 idi. Grup 1’deki hastalar Grup 2’ye göre daha genç idi (p<0.05). Grup 1’de hastanede kalış süresi ve postoperative komplikasyon daha yüksek idi (p>0.05). MD uzunluğu Grup 1’de daha uzun, taban çapı ise daha küçük iken gruplar arasında fark saptanmadı (p>0.05). Sonuç: Semptomatik Meckel divertikülitlerinde rezeksiyon sonrasında komplikasyon oranları daha yüksek iken, insidental Meckel divertiküllerinde hastanede kalış süresinin primer cerrahiye bağlı daha uzun olabileceği akılda tutulmalıdır.

Anahtar Kelimeler:

Meckel divertikülü, Divertikülit, Divertikülektomi, Komplikasyonlar, Cerrahi

Comparison of Postoperative Complications of Diverticulectomy in Symptomatic and Incidental Meckel’s Diverticulum

Aim: Management of incidental Meckel’s diverticulum (MD) in adults is controversial. This study aims to compare the postoperative complications of diverticulectomy in incidental and symptomatic MD. Materials and Methods: Adult patients with MD who were surgically treated in our clinic between January 2010 and December 2020 were analyzed retrospectively. Patients were divided into two groups according to the presence of symptomatic and incidental diverticula. Age, sex, preoperative laboratory values, histopathological results, lenght of hospital stay, and postoperative complications were compared between the groups. Results: A total of 46 patients, symptomatic (Group 1, 78.2%) and incidental (Group 2, 21.8%), were included in the study. The male/female ratio was 30/16. Patients in Group 1 were younger than those in Group 2 (p<0.05). The hospital duration and postoperative complications in Group 1 were lesser than Group 2 (p>0.05). The MD dimension was longer and the base diameter was shorter in Group 1. No difference was observed between Group 1 and Group 2 in terms of MD dimension and base diameter (p>0.05). Conclusion: Although the incidence of complications after resection is higher in symptomatic MD, it is not significant when compared to the rate of complication development after surgery in incidental MD.

Keywords:

Meckel's diverticulum, Diverticulectomy, Diverticulitis, Complications, Surgery,

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