2011•Journal of laparoscopic surgeryRequires access

The clinical experience of the complications about laparoscopic ventriculoperitoneal shunt for hydrocephalus

Xiao-ying Shang

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Abstract

Objective:To investigate the clinical value of laparoscopic ventriculoperitoneal shunt in treatment of hydrocephalus,and summary the reasons and measures of preventing the complications.Methods:The clinical data of 60 cases of hydrocephalus treated by laparoscopic ventriculoperitoneal shunt were retrospectively reviewed.Results: No patients died during operation and clinical symptoms of 40 cases significantly improved compared with the preoperative.There were 14 cases(23.3%)got postoperative complications.There were 6 cases with the obstruction of the catheter,4 cases with infection,4 cases with subdural hygroma.Conclusions:Strictly surgical indications,careful perioperative preparation,the appropriate shunt tube,strict aseptic technique,especially completely laparoscopic abdominal surgery,can effectively reduce the incidence of complications.

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What this paper is about

Objective:To investigate the clinical value of laparoscopic ventriculoperitoneal shunt in treatment of hydrocephalus,and summary the reasons and measures of preventing the complications.Methods:The clinical data of 60 cases of hydrocephalus treated by laparoscopic ventriculoperitoneal shunt were retrospectively reviewed.Results: No patients died during operation and clinical symptoms of 40 cases significantly improved compared with the preoperative.There were 14 cases(23.3%)got postoperative complications.There were 6 cases with the obstruction of the catheter,4 cases with infection,4 cases with subdural hygroma.Conclusions:Strictly surgical indications,careful perioperative preparation,the appropriate shunt tube,strict aseptic technique,especially completely laparoscopic abdominal surgery,can effectively reduce the incidence of complications.

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Available abstract

Objective:To investigate the clinical value of laparoscopic ventriculoperitoneal shunt in treatment of hydrocephalus,and summary the reasons and measures of preventing the complications.Methods:The clinical data of 60 cases of hydrocephalus treated by laparoscopic ventriculoperitoneal shunt were retrospectively reviewed.Results: No patients died during operation and clinical symptoms of 40 cases significantly improved compared with the preoperative.There were 14 cases(23.3%)got postoperative complications.There were 6 cases with the obstruction of the catheter,4 cases with infection,4 cases with subdural hygroma.Conclusions:Strictly surgical indications,careful perioperative preparation,the appropriate shunt tube,strict aseptic technique,especially completely laparoscopic abdominal surgery,can effectively reduce the incidence of complications.

Key concepts: Medicine, Hydrocephalus, Surgery, Shunt (medical), Perioperative, Laparoscopy, Catheter

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