000063232 001__ 63232
000063232 005__ 20171117104915.0
000063232 0247_ $$2doi$$a10.1097/MD.0000000000001017
000063232 0248_ $$2sideral$$a90731
000063232 037__ $$aART-2015-90731
000063232 041__ $$aeng
000063232 100__ $$aDeus,Javier
000063232 245__ $$aRescue radioguided laparoscopy surgery for meckel’s diverticulum
000063232 260__ $$c2015
000063232 5060_ $$aAccess copy available to the general public$$fUnrestricted
000063232 5203_ $$aThe extirpation of Meckel's diverticulum (MD) via conventional or laparoscopic surgery is the definitive treatment. However, certain circumstances may modify or alter this situation and require the application of exceptional measures.

We report a case under our observation who previously had an exploratory abdominal laparotomy for a suspected MD; however, the findings were negative. At that time, the diagnosis was established based on low-level gastrointestinal bleeding and isotopic tests that confirmed the existence of the diverticulum. Given the findings of gamma-graphic exploration and the previous negative surgical exploration, a decision was made to remove the lesion by laparoscopic radioguided surgery. 
The patient underwent bilateral laparoscopic radioguided surgery using a gamma radiation detection probe. The exploration of the abdominal cavity noted the existence of the diverticulum about 60 to 70 cm from the ileocecal valve. In this way, it was possible to proceed with the resection of the bowel loop and perform an intracorporeal anastomosis termino lateral. The postoperative course was uneventful, and the patient was discharged on the fifth postoperative day. 
We believe that the combination of radioguided surgery and single photon emission computed tomography/computed tomography could be useful for treating lesions in locations that are surgically difficult because of the characteristics of the lesion itself or the peculiarities of an individual patient.
000063232 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000063232 590__ $$a1.206$$b2015
000063232 591__ $$aMEDICINE, GENERAL & INTERNAL$$b78 / 153 = 0.51$$c2015$$dQ3$$eT2
000063232 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000063232 700__ $$0(orcid)0000-0003-4444-794X$$aMillera, Alfonso$$uUniversidad de Zaragoza
000063232 700__ $$aAndres, Alejandro
000063232 700__ $$aPrats, Enrique
000063232 700__ $$aSuarez, Manuel
000063232 700__ $$aGil, Ismael
000063232 700__ $$aSalcicini, Jose Luis
000063232 700__ $$aLahoz, Manuel
000063232 700__ $$0(orcid)0000-0002-5618-7519$$aDe Gregorio, Miguel Angel$$uUniversidad de Zaragoza
000063232 7102_ $$11010$$2770$$aUniversidad de Zaragoza$$bDepartamento de Pediatría, Radiología y Medicina Física$$cRadiología y Medicina Física
000063232 7102_ $$11004$$2090$$aUniversidad de Zaragoza$$bDepartamento de Cirugía, Ginecología y Obstetricia$$cCirugía
000063232 773__ $$g94, 25 (2015), 1-3$$pMedicine (Baltim.)$$tMedicine (Baltimore)$$x0025-7974
000063232 8564_ $$s271544$$uhttp://zaguan.unizar.es/record/63232/files/texto_completo.pdf$$yVersión publicada
000063232 8564_ $$s8308$$uhttp://zaguan.unizar.es/record/63232/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000063232 909CO $$ooai:zaguan.unizar.es:63232$$particulos$$pdriver
000063232 951__ $$a2017-11-16-13:54:57
000063232 980__ $$aARTICLE