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Journal of Korean Neurosurgical Society 2010;48(4): 325-329.
doi: https://doi.org/10.3340/jkns.2010.48.4.325
Laparotomy versus Laparoscopic Placement of Distal Catheter in Ventriculoperitoneal Shunt Procedure.
Young Seop Park, In Sung Park, Kyung Bum Park, Chul Hee Lee, Soo Hyun Hwang, Jong Woo Han
Department of Neurosurgery, Gyeongsang National University School of Medicine, Jinju, Korea. gnuhpis@nongae.gsnu.ac.kr
ABSTRACT
OBJECTIVE
Traditionally, peritoneal catheter is inserted with midline laparotomy incision in ventriculoperitoneal (V-P) shunt procedures. Complications of V-P shunt is not uncommon and have been reported to occur in 5-37% of cases. The aim of this study is to compare the clinical outcomes and the operation time between laparotomy and laparoscopic groups.
METHODS
A total of 155 V-P shunt procedures were performed to treat hydrocephalic patients of various origins in our institute between June 2006 to January 2010; 95 of which were laparoscopically guided and 65 were not. We reviewed the operation time, surgery-related complications, and intraoperative and postoperative problems.
RESULTS
In the laparoscopy group, the mean duration of the procedure (52 minutes) was significantly shorter (p < 0.001) than the laparotomy group (109 minutes). There were two cases of malfunctions and one incidence of diaphragm injury in the laparotomy group. In contrast, there were neither malfunction nor any internal organ injuries in the laparoscopy group (p = 0.034). There were total of two cases of infections from both groups (p = 0.7).
CONCLUSION
Laparoscopically guided insertions of distal shunt catheter is considered a fast and safe method in contrast to the laparotomy technique. This method allows the exact localization of the peritoneal catheter and a confirmation of its patency.
Key Words: Hydrocephalus; Laparoscopy; Peritoneal catheter
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