Peritoneal Catheter Insertion Using Laparoscopic Guidance

Basauri, L; Jm, Selman; Lizana, C

doi:10.1159/000120711

Cited by 50 publications

(26 citation statements)

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“…In the late 1970s and 1980s, laparoscopy was introduced for retrieval of ''lost'' distal catheters [5,6], and has primarily been utilized for shunt revision. Laparoscopy for distal catheter placement in new shunts was described in 1993 [7][8][9], but has not been used extensively for this purpose.…”

Section: Abstract Abdominal á Neuromentioning

confidence: 99%

Laparoscopic versus open approach for implantation of the peritoneal catheter during ventriculoperitoneal shunt placement

et al. 2008

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Section: Abstract Abdominal á Neuromentioning

confidence: 99%

Laparoscopic versus open approach for implantation of the peritoneal catheter during ventriculoperitoneal shunt placement

et al. 2008

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“…Laparoscopy-assisted techniques have greatly reduced these potential morbidities through direct visualization of the peritoneal cavity, as well as the risk of incisional hernia after laparotomy 4,5,9,[16][17][18][19]26,27,30) . This study focuses on the following results of laparoscopically guided implantation of a distal catheter compared to the laparotomy group : the operation time, intra-operative and extra-operative problems.…”

Section: Introductionmentioning

confidence: 99%

Laparotomy versus Laparoscopic Placement of Distal Catheter in Ventriculoperitoneal Shunt Procedure

Park

et al. 2010

J Korean Neurosurg Soc

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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.

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“…1,33 An alternative to mini-laparotomy in patients undergoing VP shunt surgery is the laparoscopic placement of the peritoneal catheter, as described by Basauri and colleagues in 1993. 5 Retrospective series have since suggested an advantage in terms of operation duration, length of hospital stay, and rate of distal shunt dysfunction (and thus potentially overall shunt dysfunction) compared with mini-laparotomy, with very low risk for surgical complications such as viscus perforations. 3,5,7,8,13,15,16,20,24,26,34 Laparoscopic shunt placement is hypothesized to have several advantages over the classic mini-laparotomy: 1) the peritoneal wall is only punctured, rather than incised, making fixation of the catheter, and therefore the potential danger of catheter ligation, obsolete; 2) there is no subcutaneous pouch into which the catheter can slip; 3) insertion of the catheter and its placement in the lesser pelvis are visually controlled by the intraperitoneal camera, making misplacement virtually impossible; and 4) presence of CSF flow through the catheter can be visually controlled after final catheter placement.…”

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confidence: 99%

Laparoscopically assisted ventriculoperitoneal shunt placement: a prospective randomized controlled trial

Schucht¹,

Banz

Trochsler

et al. 2015

JNS

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OBJECT In ventriculoperitoneal (VP) shunt surgery, laparoscopic assistance can be used for placement of the peritoneal catheter. Until now, the efficacy of laparoscopic shunt placement has been investigated only in retrospective and nonrandomized prospective studies, which have reported decreased distal shunt dysfunction rates in patients undergoing laparascopic placement compared with mini-laparotomy cohorts. In this randomized controlled trial the authors compared rates of shunt failure in patients who underwent laparoscopic surgery for peritoneal catheter placement with rates in patients who underwent traditional mini-laparotomy. METHODS One hundred twenty patients scheduled for VP shunt surgery were randomized to laparoscopic surgery or mini-laparotomy for insertion of the peritoneal catheter. The primary endpoint was the rate of overall shunt complication or failure within the first 12 months after surgery. Secondary endpoints were distal shunt failure, overall complication/ failure, duration of surgery and hospitalization, and morbidity. RESULTS The overall shunt complication/failure rate was 15% (9 of 60 cases) in the laparoscopic group and 18.3% (11 of 60 cases) in the mini-laparotomy group (p = 0.404). Patients in the laparoscopic group had no distal shunt failures; in contrast, 5 (8%) of 60 patients in the mini-laparotomy group experienced distal shunt failure (p = 0.029). Intraoperative complications occurred in 2 patients (both in the laparoscopic group), and abdominal pain led to catheter removal in 1 patient per group. Infections occurred in 1 patient in the laparoscopic group and 3 in the mini-laparotomy group. The mean durations of surgery and hospitalization were similar in the 2 groups. CONCLUSIONS While overall shunt failure rates were similar in the 2 groups, the use of laparoscopic shunt placement significantly reduced the rate of distal shunt failure compared with mini-laparotomy.

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Peritoneal Catheter Insertion Using Laparoscopic Guidance

Cited by 50 publications

References 0 publications

Laparoscopic versus open approach for implantation of the peritoneal catheter during ventriculoperitoneal shunt placement

Laparoscopic versus open approach for implantation of the peritoneal catheter during ventriculoperitoneal shunt placement

Laparotomy versus Laparoscopic Placement of Distal Catheter in Ventriculoperitoneal Shunt Procedure

Laparoscopically assisted ventriculoperitoneal shunt placement: a prospective randomized controlled trial

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