| Ventriculoperitoneal Shunt with Neuronavigation
System and Laparoscopy |
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Min Geun Ku , Dong Youl Rhee , Hwa Seung Park , Joon Suk Song, Weon Heo , Beom Jin Choi , Se Hyun Joung |
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Department of Neurosurgery, Wallace Memorial Baptist Hospital, Busan, Korea |
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| Abstract |
Object: The purpose of this study was to verify the role of neuronavigation system and laparoscopy on ventriculoperitoneal (VP) shunt whether
to decrease the incidences of shunt failure caused by catheter malposition or infection.
Methods
We retrospectively reviewed 21 patients (9 men and 12 women) with hydrocephalus of various causes, who underwent
surgery for initial VP shunt placement by the minimally invasive procedure of using a laparoscopy and a neuronavigation system
between January 2007 and September 2008.
Results
The age of patients ranged from 59 to 76 years old (the mean age, 66 years old). The mean follow-up period was 11.2 months
(3-22 months). The mean operative time was 72 minutes (60-100 minutes). All patients showed significant improvement of clinical symptoms
after the VP shunt. All but one showed procedure unrelated complications, resulting in a complication rate of 4.7%. An abdominal
wound infection necessitating shunt revision occurred in one patient.
Conclusion
The use of a neuronavigation system and a laparoscopy in the placement of shunt catheters seem to assure accurate
catheter placement. Furthermore, it offers the benefit of allowing a safe insertion with visual verification of shunt function, reduced the operation
time, and decreased the size of wound. Consequently, this may decreases the rate of catheter malposition and infection in the future. |
| Key Words:
Catheter malpositionㆍHydrocehalusㆍInfectionㆍLaparoscopyㆍNeuronavigation systemㆍVentriculoperitoneal shunt |
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