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Transumbilical single-incision laparoscopically assisted ventriculoperitoneal shunting: a minimal invasive technique

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Abstract

Objective

Hydrocephalus is not rare in the child. Ventriculoperitoneal shunt (VPS) is still the gold standard in treating non-obstructive hydrocephalus in children. Several approaches have been described and in modern surgery, in which lesser invasive techniques are predominant. This study aims at presenting a minimally invasive technique for the placement of the abdominal part of the catheter.

Methods

We describe a minimally invasive approach for the placement of the abdominal part of the catheter using a single-incision laparoscopic technique (SILS). Furthermore, considerations about complications, follow-up, and advantages and disadvantages of the above mentioned technique will be discussed.

Result

These surgeries were performed successfully without any conversion. The operation time was 60 min, and the abdominal procedure was 11 min. The patient had the oral fluid intake 12 h later with the average hospitalization of 3 days after the surgery. During a 2-month follow-up, favorable cosmetic results were obtained with no relevant complications occurred.

Conclusion

Single-incision laparoscopically assisted VPS is feasible and safe in the treatment of hydrocephalus with less invasive and better cosmetic results from the preliminary experience.

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Authors and Affiliations

  1. Department of General Surgery, Affiliated Dongtai Hospital of Nantong University, Dongtai, 224200, Jiangsu Province, China

    Renzhong Zhu & Jiang He

  2. Department of General Surgery, Dongtai People’s Hospital , Dongtai, 224200, Jiangsu Province, China

    Renzhong Zhu & Jiang He

  3. Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, 110000, Liaoning Province, China

    Hong Yu

Authors
  1. Renzhong Zhu
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  2. Jiang He
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  3. Hong Yu
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Corresponding author

Correspondence to Renzhong Zhu.

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The authors declare that they have no competing interests.

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Written informed consent was acquired from the patient described in this study for publication.

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Zhu, R., He, J. & Yu, H. Transumbilical single-incision laparoscopically assisted ventriculoperitoneal shunting: a minimal invasive technique. Childs Nerv Syst 37, 1319–1322 (2021). https://doi.org/10.1007/s00381-020-05022-6

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  • DOI: https://doi.org/10.1007/s00381-020-05022-6

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