Laparotomy versus Laparoscopic Placement of Distal, Catheter in Ventriculoperitoneal Shunt Procedure

Park, Young-Seop; Park, In-Sung; Park, Kyung-Bum; Lee, Chul-Hee; Hwang, Soo-Hyun; Han, Jong-Woo

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자료유형: 학술저널

저자정보: Park, Young-Seop (Department of Neurosurgery, Gyeongsang National University School of Medicine) Park, In-Sung (Department of Neurosurgery, Gyeongsang National University School of Medicine) Park, Kyung-Bum (Department of Neurosurgery, Gyeongsang National University School of Medicine) Lee, Chul-Hee (Department of Neurosurgery, Gyeongsang National University School of Medicine) Hwang, Soo-Hyun (Department of Neurosurgery, Gyeongsang National University School of Medicine) Han, Jong-Woo (Department of Neurosurgery, Gyeongsang National University School of Medicine)

저널정보: 대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제48권 제4호

발행연도: 2010.1

수록면: 325 - 329 (5page)

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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.

#Hydrocephalus #Laparoscopy #Peritoneal catheter

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Park, Young-Seop

소속기관 Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National

주요연구분야 의약학 > 임상의학 > 신경외과학

논문수 3 이용수 0

Park, In-Sung