Excessive accumulation of cerebrospinal fluid within the brain ventricles is called hydrocephalus, which results in increased intracranial pressure preventing brain growth or causing damage to intracranial structures due to raised intracranial pressure. One of the most common treatment options for this pathology includes the placement of a ventriculoperitoneal shunt to drain the excess fluid. The location of catheterization is traditionally considered as an important factor affecting shunt survival. In this study, we aimed to systematically review all available documents to determine the advantage and superiority of frontal or occipital shunt entry points as the two main approaches. A database search was performed in PubMed, Scopus, Embase, Web of Science, Medline, Ovid, and Google Scholar using “ventriculoperitoneal”, “shunt placement”, and “hydrocephalus” as the main key terms. Resultant articles were screened for relevancy based on predefined inclusion and exclusion criteria by two authors independently. After excluding irrelevant documents, the data of 11 related articles consisting of 3947 patients were extracted and qualitative data synthesis and pooled analysis were performed. The results of the included studies showed that although the outcomes of a higher percentage of the total review population were in favor of frontal shunt placement, there was no significant superiority for neither of these two approaches after pooled analysis of available failure rates. Findings have shown that each approach has benefits and drawbacks, and there may be other factors such as age and valve design besides the position of shunt placement that may affect the survival rate. Also, the accuracy of shunt placement as an independent factor affects the failure rate and can be improved with various image-guidance methods to minimize shunt failure.

脑室内脑脊液的过度积聚称为脑积水，这会导致颅内压升高，从而阻止大脑生长或由于颅内压升高而导致颅内结构受损。这种病理最常见的治疗选择之一包括放置脑室腹腔分流器以排出多余的液体。导管插入的位置传统上被认为是影响分流存活的重要因素。在这项研究中，我们旨在系统地审查所有可用文件，以确定作为两种主要方法的额叶或枕叶分流入口点的优势和优越性。在 PubMed、Scopus、Embase、Web of Science、Medline、Ovid 和 Google Scholar 中使用“脑室腹膜”、“分流放置”、和“脑积水”为主要关键词。由两位作者独立地根据预定义的纳入和排除标准筛选所得文章的相关性。剔除无关文献后，提取11篇相关文章共3947例患者的数据，进行定性数据合成和汇总分析。纳入研究的结果表明，虽然较高比例的总评价人群的结果支持额叶分流术，但在对可用失败率进行汇总分析后，这两种方法均无显着优势。研究结果表明，每种方法都有优点和缺点，除了分流器放置的位置外，可能还有其他因素，例如年龄和瓣膜设计，可能会影响存活率。还，