수두증 환자에서 복강경을 이용한 뇌실복강간 단락술

Laparoscopic Ventriculoperitoneal Shunt Placement in Hydrocephalus

  • 최용수 (원광대학교 의과대학 신경외과학교실) ;
  • 김대원 (원광대학교 의과대학 신경외과학교실) ;
  • 강성돈 (원광대학교 의과대학 신경외과학교실)
  • 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)
  • 발행 : 2010.09.30

초록

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.

키워드

참고문헌

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