Single-incision laparoscopic surgery (SILS) for ventriculoperitoneal shunt placement

Wei Chen Hong, Peng Sheng Lai, Yin Hsuan Chien, Yong Kwang Tu, Jui Chang Tsai

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background Single-incision laparoscopic surgery (SILS) may facilitate safer shunt placement and lower distal obstruction rate than is seen in conventional surgery. Objective We reviewed our 2-year experience in SILS for ventriculoperitoneal shunt placement to evaluate its usefulness and safety. Materials and Methods In this retrospective study, we enrolled patients older than 18 years with dilated ventricle and syndromes of hydrocephalus. A total of 31 patients underwent 31 primary ventriculoperitoneal shunt placement surgery and two underwent revision surgery. All the procedures were performed by the SILS technique. Results The entire duration of ventriculoperitoneal shunt implantation ranged from 45 to 80 minutes, with mean operation time of 65 ± 15.3 minutes. No major laparoscopy-related complications were noted. Shunt infection, peritonitis, and distal catheter malfunction occurred in one case (3.2%), proximal malfunction in one case (3.2%), and subcutaneous emphysema occurred in two cases (6.4%). The emphysema resolved within 2 days. Cosmetic results were "very good to goodo" in 17 patients (54.8%) and "satisfactoryo" in 14 patients (45.2%). The abdominal scars in most cases were nearly invisible. Conclusion SILS is a safe and effective technique for ventriculoperitoneal shunt placement and can be accomplished with no higher risk of shunt infection and distal malfunction. Without an additional port, SILS allows good visualization of the peritoneal cavity to avoid major intra-abdominal complications. Only one 6-mm incision at the umbilicus area is required and is almost invisible after wound healing.

Original languageEnglish
Pages (from-to)351-356
Number of pages6
JournalJournal of Neurological Surgery, Part A: Central European Neurosurgery
Volume74
Issue number6
DOIs
Publication statusPublished - Oct 31 2013
Externally publishedYes

Fingerprint

Ventriculoperitoneal Shunt
Laparoscopy
Subcutaneous Emphysema
Umbilicus
Peritoneal Cavity
Emphysema
Hydrocephalus
Infection
Peritonitis
Reoperation
Cosmetics
Wound Healing
Cicatrix
Catheters
Retrospective Studies
Safety

Keywords

  • complication
  • hydrocephalus
  • single incision laparoscopic surgery (SILS)
  • ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Single-incision laparoscopic surgery (SILS) for ventriculoperitoneal shunt placement. / Hong, Wei Chen; Lai, Peng Sheng; Chien, Yin Hsuan; Tu, Yong Kwang; Tsai, Jui Chang.

In: Journal of Neurological Surgery, Part A: Central European Neurosurgery, Vol. 74, No. 6, 31.10.2013, p. 351-356.

Research output: Contribution to journalArticle

Hong, Wei Chen ; Lai, Peng Sheng ; Chien, Yin Hsuan ; Tu, Yong Kwang ; Tsai, Jui Chang. / Single-incision laparoscopic surgery (SILS) for ventriculoperitoneal shunt placement. In: Journal of Neurological Surgery, Part A: Central European Neurosurgery. 2013 ; Vol. 74, No. 6. pp. 351-356.
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AU - Lai, Peng Sheng

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AU - Tu, Yong Kwang

AU - Tsai, Jui Chang

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N2 - Background Single-incision laparoscopic surgery (SILS) may facilitate safer shunt placement and lower distal obstruction rate than is seen in conventional surgery. Objective We reviewed our 2-year experience in SILS for ventriculoperitoneal shunt placement to evaluate its usefulness and safety. Materials and Methods In this retrospective study, we enrolled patients older than 18 years with dilated ventricle and syndromes of hydrocephalus. A total of 31 patients underwent 31 primary ventriculoperitoneal shunt placement surgery and two underwent revision surgery. All the procedures were performed by the SILS technique. Results The entire duration of ventriculoperitoneal shunt implantation ranged from 45 to 80 minutes, with mean operation time of 65 ± 15.3 minutes. No major laparoscopy-related complications were noted. Shunt infection, peritonitis, and distal catheter malfunction occurred in one case (3.2%), proximal malfunction in one case (3.2%), and subcutaneous emphysema occurred in two cases (6.4%). The emphysema resolved within 2 days. Cosmetic results were "very good to goodo" in 17 patients (54.8%) and "satisfactoryo" in 14 patients (45.2%). The abdominal scars in most cases were nearly invisible. Conclusion SILS is a safe and effective technique for ventriculoperitoneal shunt placement and can be accomplished with no higher risk of shunt infection and distal malfunction. Without an additional port, SILS allows good visualization of the peritoneal cavity to avoid major intra-abdominal complications. Only one 6-mm incision at the umbilicus area is required and is almost invisible after wound healing.

AB - Background Single-incision laparoscopic surgery (SILS) may facilitate safer shunt placement and lower distal obstruction rate than is seen in conventional surgery. Objective We reviewed our 2-year experience in SILS for ventriculoperitoneal shunt placement to evaluate its usefulness and safety. Materials and Methods In this retrospective study, we enrolled patients older than 18 years with dilated ventricle and syndromes of hydrocephalus. A total of 31 patients underwent 31 primary ventriculoperitoneal shunt placement surgery and two underwent revision surgery. All the procedures were performed by the SILS technique. Results The entire duration of ventriculoperitoneal shunt implantation ranged from 45 to 80 minutes, with mean operation time of 65 ± 15.3 minutes. No major laparoscopy-related complications were noted. Shunt infection, peritonitis, and distal catheter malfunction occurred in one case (3.2%), proximal malfunction in one case (3.2%), and subcutaneous emphysema occurred in two cases (6.4%). The emphysema resolved within 2 days. Cosmetic results were "very good to goodo" in 17 patients (54.8%) and "satisfactoryo" in 14 patients (45.2%). The abdominal scars in most cases were nearly invisible. Conclusion SILS is a safe and effective technique for ventriculoperitoneal shunt placement and can be accomplished with no higher risk of shunt infection and distal malfunction. Without an additional port, SILS allows good visualization of the peritoneal cavity to avoid major intra-abdominal complications. Only one 6-mm incision at the umbilicus area is required and is almost invisible after wound healing.

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