Nguyen SHT, Wheelwright M, Vakayil V, Meshram P, O’Donnell R, Harmon JV. Concomitant resection of Meckel diverticulum during laparoscopic appendectomy: Retrospective propensity-matched ACS-NSQIP study and a case report. World J Gastrointest Surg 2025; 17(5): 103078 [DOI: 10.4240/wjgs.v17.i5.103078]
Corresponding Author of This Article
James Vail Harmon, MD, PhD, Associate Professor, Department of Surgery, University of Minnesota, 420 Delaware Street SE Mayo Mail Code 195, Minneapolis, MN 55455, United States. harm0031@umn.edu
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. May 27, 2025; 17(5): 103078 Published online May 27, 2025. doi: 10.4240/wjgs.v17.i5.103078
Concomitant resection of Meckel diverticulum during laparoscopic appendectomy: Retrospective propensity-matched ACS-NSQIP study and a case report
Sean Huu-Tien Nguyen, Matthew Wheelwright, Victor Vakayil, Pravin Meshram, Ryan O’Donnell, James Vail Harmon
Sean Huu-Tien Nguyen, Matthew Wheelwright, Victor Vakayil, Pravin Meshram, James Vail Harmon, Department of Surgery, University of Minnesota, Minneapolis, MN 55455, United States
Ryan O’Donnell, Department of Surgery, M Health Fairview, Burnsville, MN 55337, United States
Author contributions: Nguyen SHT contribution to design, analysis, drafting and critical review; Wheelwright M, Meshram P contribution to analysis and critical review; Vakayil V contribution to design and analysis; O’Donnell R contribution to acquisition of data and critical review; Harmon JV contribution to design, concept, critical review, and supervision.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and accompanying images.
Conflict-of-interest statement: We report no conflict of interest of any authors.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: James Vail Harmon, MD, PhD, Associate Professor, Department of Surgery, University of Minnesota, 420 Delaware Street SE Mayo Mail Code 195, Minneapolis, MN 55455, United States. harm0031@umn.edu
Received: November 8, 2024 Revised: January 23, 2025 Accepted: March 14, 2025 Published online: May 27, 2025 Processing time: 196 Days and 3.8 Hours
Core Tip
Core Tip: Incidental Meckel diverticulum (MD) is rare but can be encountered during routine abdominal surgical procedures. The surgical management of incidental MD remains debated. We report a case of resection of an incidentally detected MD during laparoscopic appendectomy with no complications on the 6-year follow-up. ACS-NSQIP analysis demonstrated that concurrent incidental Meckel diverticulectomy with laparoscopic appendectomy does not increase morbidity and mortality. However, Meckel diverticulectomy with laparoscopic appendectomy increases resource utilization. We recommend resection on the basis of individualized patient’s factors and acknowledge that incidental Meckel diverticulectomy can be efficiently and safely performed in selected patients.
