A retrospective analysis of laparoscopically assisted ventriculoperitoneal shunts

During the last two years, laparoscopy has been utilized to facilitate the rapid, safe and direct placement of the abdominal component of ventriculoperitoneal shunts. This study was undertaken to review the feasibility, benefits, technique, and clinical application of laparoscopically assisted ventr...

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Bibliographic Details
Published in:Surgical endoscopy 1996-03, Vol.10 (3), p.311-313
Main Authors: BOX, J. C, YOUNG, D, MASON, E, ANGOOD, P, YANCEY, M, SCHIESS, R, DUNCAN, T, LUCAS, G. W
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves
Female
Humans
Laparoscopy
Male
Medical sciences
Middle Aged
Neurosurgery
Postoperative Complications
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Ventriculoperitoneal Shunt - methods
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Summary:During the last two years, laparoscopy has been utilized to facilitate the rapid, safe and direct placement of the abdominal component of ventriculoperitoneal shunts. This study was undertaken to review the feasibility, benefits, technique, and clinical application of laparoscopically assisted ventriculoperitoneal (LAVP) shunt placement. A retrospective analysis of the records of six patients who underwent LAVP shunt placement was undertaken. The sex, age, technique, indication for surgery, comorbid conditions, complications operative time, results, and mortality were noted. All patients underwent successful shunt placement. This included placement in the face of previous abdominal surgery, including a percutaneous gastrostomy. The one major complication, hemothorax, was not associated with the laparoscopic portion of the procedure. Using basic laparoscopic skills and nonspecialized equipment, laparoscopic assistance in ventriculoperitoneal shunt placement offers easy, direct placement of the intraabdominal portion of the catheter in most situations and provides definite patient benefits.
ISSN:0930-2794
1432-2218
DOI:10.1007/BF00187378