Open Access

Novel type of peritoneocentesis trocar-assisted distal ventriculoperitoneal shunt placement with supervision via a one-port laparoscope

  • Authors:
    • Guangming Wang
    • Jinlu Yu
    • Yongxin Luan
    • Yanwu Han
    • Shuanglin Fu
  • View Affiliations

  • Published online on: August 14, 2017     https://doi.org/10.3892/etm.2017.4926
  • Pages: 3413-3418
  • Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Ventriculoperitoneal shunts (VPS) are the primary treatment for hydrocephalus and are associated with a high risk of complications, specifically in patients who are obese or have abdominal adhesions or shunt revisions. The present study describes the use of a novel type of peritoneal catheter peritoneocentesis trocar insertion with the assistance of a one‑port laparoscope. A total of 36 patients with hydrocephalus underwent this novel type of peritoneocentesis trocar‑assisted VPS. The distal shunt catheter was placed into the right subdiaphragmatic space and the catheter was traversed through a single hole drilled through the liver falciform ligament. The duration of the laparoscopic surgery ranged from 6‑18 min (mean 10.4±1.6 min). No shunt‑related infections or catheter malfunctions or injuries to the intra‑abdominal organs occurred. The total abdominal incision length was 1.0 cm (0.5+0.5 cm). No laparoscopy‑related complications were observed during follow‑up assessments. The novel approach used in the current study is very easy to perform, and this method may significantly reduce the risk of malfunction complications. The presented method also has the advantages of reduced trauma and a simpler surgery. The current study indicated that this simple, minimally invasive procedure was beneficial for patients with hydrocephalus, specifically in cases of patients with obesity, peritoneal adhesions or shunt revisions.

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October-2017
Volume 14 Issue 4

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Wang G, Yu J, Luan Y, Han Y and Fu S: Novel type of peritoneocentesis trocar-assisted distal ventriculoperitoneal shunt placement with supervision via a one-port laparoscope. Exp Ther Med 14: 3413-3418, 2017.
APA
Wang, G., Yu, J., Luan, Y., Han, Y., & Fu, S. (2017). Novel type of peritoneocentesis trocar-assisted distal ventriculoperitoneal shunt placement with supervision via a one-port laparoscope. Experimental and Therapeutic Medicine, 14, 3413-3418. https://doi.org/10.3892/etm.2017.4926
MLA
Wang, G., Yu, J., Luan, Y., Han, Y., Fu, S."Novel type of peritoneocentesis trocar-assisted distal ventriculoperitoneal shunt placement with supervision via a one-port laparoscope". Experimental and Therapeutic Medicine 14.4 (2017): 3413-3418.
Chicago
Wang, G., Yu, J., Luan, Y., Han, Y., Fu, S."Novel type of peritoneocentesis trocar-assisted distal ventriculoperitoneal shunt placement with supervision via a one-port laparoscope". Experimental and Therapeutic Medicine 14, no. 4 (2017): 3413-3418. https://doi.org/10.3892/etm.2017.4926