Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
권호 표지

Laparoscopic Ventriculoperitoneal Shunt Placement in Hydrocephalus

수두증 환자에서 복강경을 이용한 뇌실복강간 단락술

  • Choi, Yong-Su (Department of Neurosurgery, School of Medicine, Institute of Wonkwang Medical Science, Wonkwang University) ;
  • Kim, Dae-Won (Department of Neurosurgery, School of Medicine, Institute of Wonkwang Medical Science, Wonkwang University) ;
  • Kang, Sung-Don (Department of Neurosurgery, School of Medicine, Institute of Wonkwang Medical Science, Wonkwang University)
  • 최용수 (원광대학교 의과대학 신경외과학교실) ;
  • 김대원 (원광대학교 의과대학 신경외과학교실) ;
  • 강성돈 (원광대학교 의과대학 신경외과학교실)
  • Published : 2010.09.30
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Abstract

Objective : The ventriculoperitoneal (VP) shunt is the standard therapy for the management of hydrocephalus. Laparoscopic revision of distal shunt malfunction has become popular, but laparoscopic peritoneal shunt placements are not performed often. We present a series of 15 consecutive patients in which VP shunts were placed with laparoscopic assistance. Methods : From April 2007 to December 2009, 15 patients (aged 44-79 years) with hydrocephalus underwent laparoscopic VP shunt placement. Patients were followed postoperatively for signs and symptoms related to shunt malfunction, shunt infection, and procedure morbidity. Results : All patients tolerated this procedure well, and there were no complications. The benefits of this procedure included shunt placement under direct vision, and reduced risk of both abdominal trauma and intra-abdominal adhesions. Conclusion : Laparoscopic-assisted placement of the VP shunt is a good alternative treatment option for hydrocephalus patients.

Keywords

References

  1. Agha FP, Amendola MA, Shirazi KK, Amendola BE, Chandler WF. Abdominal complications of ventriculoperitoneal shunts with emphasis on the role of imaging methods. Surg Gynecol Obstet 156:473-8, 1983
  2. Agha FP, Amendola MA, Shirazi KK, Amendola BE, Chandler WF. Unusual abdominal complications of ventriculo-peritoneal shunts. Radiology 146:323-6, 1983 https://doi.org/10.1148/radiology.146.2.6849079
  3. Armbruster C, Blauensteiner J, Ammerer HP, Kriwanek S. Laparoscopically assisted implantation of ventriculoperitoneal shunts. J Laparoendosc Surg 3:191-2, 1993 https://doi.org/10.1089/lps.1993.3.191
  4. Bani A, Hassler WE. Laparoscopy guided insertion of peritoneal catheters in ventriculoperitoneal shunt procedures: analysis of 39 children. Pediatr Neurosurg 42:156-8, 2006 https://doi.org/10.1159/000091858
  5. Basauri L, Selman JM, Lizana C. Peritoneal catheter insertion using laparoscopic guidance. Pediatr Neurosurg. 19:109-10, 1993 https://doi.org/10.1159/000120711
  6. Esposito C, Colella G, Settimi A, Centonze A, Signorelli F, Ascione G, et al. One-trocar laparoscopy: a valid procedure to treat abdominal complications in children with peritoneal shunt for hydrocephalus. Surg Endosc 17:828-30, 2003 https://doi.org/10.1007/s00464-002-9063-8
  7. Jansen FW, Kapiteyn K, Trimbos-Kemper T, Hermans J, Trimbos JB. Complications of laparoscopy: a prospective multicentre observational study. Br J Obstet Gynaecol 104:595-600, 1997 https://doi.org/10.1111/j.1471-0528.1997.tb11539.x
  8. Jansen FW, Kolkman W, Bakkum EA, de Kroon CD, Trimbos-Kemper TC, Trimbos JB. Complications of laparoscopy: an inquiry about closed- versus open-entry technique. Am J Obstet Gynecol 190:634-8, 2004 https://doi.org/10.1016/j.ajog.2003.09.035
  9. Kestle J, Drake J, Milner R, Sainte-Rose C, Cinalli G, Boop F, et al. Long-term follow-up data from the Shunt Design Trial. Pediatr Neurosurg. 33:230-6, 2000 https://doi.org/10.1159/000055960
  10. Kirshtein B, Benifla M, Roy-Shapira A, Merkin V, Melamed I, Cohen Z, et al. Laparoscopically guided distal ventriculoperitoneal shunt placement. Surg Laparosc Percutan Tech 14:276-8, 2004
  11. Krauss JK. Idiopathic normal pressure hydrocephalus in the elderly: review and perspectives. Akt Neurologie 26:250-9, 1999 https://doi.org/10.1055/s-2007-1017638
  12. Lortat-Jacob S, Pierre-Kahn A, Renier D, Hirsch JF, Martelli H, Pellerin D. Complications abdominals des shunts ventriculoperitoneaux chez l' enfant. Chir Pediatr 25:17-21, 1984
  13. McGirt MJ, Leveque JC, Wellons JC 3rd, Villavicencio AT, Hiokins JS, Fuchs HE, George TM. Cerebrospinal fluid shunt survival and etiology of failures: a seven-year institutional experience. Pediatr Neurosurg 36:248-55, 2002 https://doi.org/10.1159/000058428
  14. Orlando R, Palatini P, Lirussi F. Needle and trocar injuries in diagnostic laparoscopy under local anesthesia: what is the true incidence of these complications? J Laparoendosc Adv Surg Tech A 13:181-4, 2003 https://doi.org/10.1089/109264203766207708
  15. Pudenz RH. The surgical treatment of hydrocephalus-an historical review. Surg Neurol 15:15-26, 1981 https://doi.org/10.1016/S0090-3019(81)80084-5
  16. Rodgers BM, Vries JK, Talbert JL. Laparoscopy in the diagnosis and treatment of malfunctioning ventriculoperitoneal shunts in children. J Pediatr Surg 13:247-53, 1978 https://doi.org/10.1016/S0022-3468(78)80395-9
  17. Roth J, Sagie B, Szold A, Elran H. Laparoscopic versus non-laparoscopic-assisted ventriculoperitoneal shunt placement in adults. A retrospective analysis. Surg Neurol 68:177-84, 2007 https://doi.org/10.1016/j.surneu.2006.10.069
  18. Schievink WI, Wharen Jr RE, Reimer R, Pettit PD, Seiler A, Shine TS. Laparoscopic placement of ventriculoperitoneal shunts: preliminary report. Mayo Clin Proc 68:1064-6, 1993 https://doi.org/10.1016/S0025-6196(12)60899-4
  19. Schubert F, Fijen BP, Krauss JK. Laparoscopically assisted peritoneal shunt insertion in hydrocephalus. A prospective controlled study. Surg Endosc 19:1588-91, 2005 https://doi.org/10.1007/s00464-005-0164-z
  20. Seifman BD, Dunn RL, Wolf Jr JS. Transperitoneal laparoscopy into the previously operated abdomen: effect on operative time, length of stay and complications. J Urol 169:36-40, 2003 https://doi.org/10.1016/S0022-5347(05)64029-3
  21. Zenmack G, Romner B. Seven years of clinical experience with the programmable Codman Hakim valve: a retrospective study of 583 patients. J Neurosurg 92:941-8, 2000 https://doi.org/10.3171/jns.2000.92.6.0941