Laparoscopy-guided insertion of peritoneal catheters in ventriculoperitoneal shunt procedures: analysis of 39 children

Pediatric Neurosurgery
Alan Bani, Werner Hassler

Abstract

Ventriculoperitoneal shunting is the mainstay in the treatment of hydrocephalus in childhood. Repeated shunt revision and previous laparotomy may complicate the implantation of the distal catheter. We describe our experience with laparoscopic insertion of peritoneal catheters in 21 male and 18 female children with an age range from 3 months to 18 years, operated between 2002 and 2004. Fourteen patients (36%) had laparotomy due to previous shunt operations and 5 patients (13%) due to other reasons. Laparoscopy was carried out concurrently with the cranial part of the procedure. In all cases, successful insertion of the peritoneal catheter was carried out with visual documentation of the patency of the distal catheter. There were no procedure-related complications. We recommend this minimally invasive procedure for all children with a body weight >5 kg, especially in cases of repeated shunt operations with intraperitoneal adhesions.

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Citations

Nov 6, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Melissa ShortGirish Jawaheer
Feb 24, 2011·Neurosurgical Review·Soheila Raysi DehcordiRenato J Galzio
Jun 15, 2007·Journal of Neurosurgery·Andrew JeaJames M Drake
Aug 16, 2014·Asian Journal of Neurosurgery·Fares NigimEkkehard M Kasper
Nov 15, 2011·Journal of Pediatric Surgery·Kathryn MartinPramod Puligandla
Oct 4, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sandra M FarachNicole M Chandler
Aug 9, 2016·International Journal of Surgery·Ameer AlyeldienAthanasios K Petridis
Jun 28, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Marga SerafimovaJonathan Roth

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