Laparoscopy facilitates identification of a Meckel diverticulum. It can then be delivered through the umbilical port site and segmental resection with anastomosis performed extracorporeally in a laparoscopic-assisted manner.

A 10-mm umbilical port is used as the primary port, and a pneumoperitoneum is established. Two working instruments are placed in the left iliac fossa and suprapubic region through 5-mm ports in the same technique that is employed for appendicectomy. The operator stands on the patient’s left side. A grasper is placed in each hand to “walk” the length of the small bowel from the ileocecal valve (Figs. 21.1, 21.2, 21.3, and 21.4).