Artikel
Laparoscopic peritoneal catheter insertion in ventriculoperitoneal shunting leads 0% peritoneal shunt misplacement – A single center report of 595 patients
Suche in Medline nach
Autoren
Veröffentlicht: | 8. Juni 2016 |
---|
Gliederung
Text
Objective: In most departments, the peritoneal catheter of ventriculoperitoneal shunts is inserted by laparotomy. We analyze the complications, advantages and disadvantages of endoscopic shunt insertion of the peritoneal catheter in ventriculoperitoneal shunts. The shunt insertion is an interdisciplinary surgical procedure of neurosurgeons and abdominal surgeons.
Method: In the last 13 years, 595 ventriculo-peritoneal shunt insertions were performed in our department. We analyzed the patient cases retrospectively with respect to the specific question of peritoneal catheter complications. In all patients the peritoneal catheter was placed laparoscopically by general surgeons.
Results: There was a 0% peritoneal catheter misplacement with the laparoscopic insertion technique. In two cases (0.49%) injury of the small bowel could be repaired immediately with no further action required. There was no increased risk of abdominal infections.
Conclusions: 595 cases were analyzed and none of them had a peritoneal shunt misplacement. There is no need for x-ray of the abdomen as well as no prolonged surgery. The laparoscopic shunt insertion which is performed by a general / abdominal surgeon is safe and highly effective.