caa a22 4500 445329165 CHVBK 20180317142731.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s10143-011-0309-6 doi (NATIONALLICENCE)springer-10.1007/s10143-011-0309-6 Laparoscopy-assisted ventriculoperitoneal shunt surgery: personal experience and review of the literature [Elektronische Daten] [Soheila Raysi Dehcordi, Claudio De Tommasi, Alessandro Ricci, Sara Marzi, Cristina Ruscitti, Gianfranco Amicucci, Renato Galzio] Ventriculoperitoneal shunting is a widely accepted technique for the treatment of hydrocephalus. The standard procedure to insert the peritoneal catheter requires an abdominal incision, muscle dissection, and opening of the peritoneum. A number of complications related to the abdominal surgical phase have been reported. Laparoscopy-assisted ventriculoperitoneal shunting is a valid alternative procedure that reduces surgical trauma. We describe our experience and review the literature. A total of 30 laparoscopically guided ventriculoperitoneal shunting procedures were performed between January 2007 and June 2008, in collaboration with a general surgeon experienced in laparoscopy. Of these procedures, 25 were new shunt placements and 5 were revisions. Data about operative time, outcome, and complications were registered and compared with a group of 30 patients treated by means of standard laparotomy in the period 2005-2007. Laparoscopic shunt placement was successful in all patients. Operative duration, complications, and postoperative pain were all lower in patients treated by laparoscopy as compared to the laparotomy. In the laparoscopic group, an earlier peristalsis, quicker mobilization, and better cosmetic results were also noted. Laparoscopy in both ventriculoperitoneal shunt placement and revision is a safe, effective, and minimally invasive technique. It ensures proper abdominal placement of the distal catheter under direct vision allowing confirmation of its patency. Springer-Verlag, 2011 Hydrocephalus nationallicence Laparoscopy nationallicence Ventriculoperitoneal shunt nationallicence Ventriculoperitoneal shunt revision nationallicence Minimal access nationallicence Raysi Dehcordi Soheila Department of Health Sciences (Neurosurgery), University of L'Aquila, Piazza S. Tommasi 1, 67100, L'Aquila, Italy aut De Tommasi Claudio Operative Unit of Neurosurgery, San Salvatore Hospital, via Vetoio, Coppito, 67100, L'Aquila, Italy aut Ricci Alessandro Operative Unit of Neurosurgery, San Salvatore Hospital, via Vetoio, Coppito, 67100, L'Aquila, Italy aut Marzi Sara Operative Unit of Neurosurgery, San Salvatore Hospital, via Vetoio, Coppito, 67100, L'Aquila, Italy aut Ruscitti Cristina Department of Surgical Sciences (General Surgery), University of L'Aquila, Piazza S. Tommasi 1, 67100, L'Aquila, Italy aut Amicucci Gianfranco Department of Surgical Sciences (General Surgery), University of L'Aquila, Piazza S. Tommasi 1, 67100, L'Aquila, Italy aut Galzio Renato Department of Health Sciences (Neurosurgery), University of L'Aquila, Piazza S. Tommasi 1, 67100, L'Aquila, Italy aut Neurosurgical Review Springer-Verlag 34/3(2011-07-01), 363-371 0344-5607 34:3<363 2011 34 10143 https://doi.org/10.1007/s10143-011-0309-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10143-011-0309-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Raysi Dehcordi Soheila Department of Health Sciences (Neurosurgery), University of L'Aquila, Piazza S. Tommasi 1, 67100, L'Aquila, Italy aut NATIONALLICENCE 700 1- De Tommasi Claudio Operative Unit of Neurosurgery, San Salvatore Hospital, via Vetoio, Coppito, 67100, L'Aquila, Italy aut NATIONALLICENCE 700 1- Ricci Alessandro Operative Unit of Neurosurgery, San Salvatore Hospital, via Vetoio, Coppito, 67100, L'Aquila, Italy aut NATIONALLICENCE 700 1- Marzi Sara Operative Unit of Neurosurgery, San Salvatore Hospital, via Vetoio, Coppito, 67100, L'Aquila, Italy aut NATIONALLICENCE 700 1- Ruscitti Cristina Department of Surgical Sciences (General Surgery), University of L'Aquila, Piazza S. Tommasi 1, 67100, L'Aquila, Italy aut NATIONALLICENCE 700 1- Amicucci Gianfranco Department of Surgical Sciences (General Surgery), University of L'Aquila, Piazza S. Tommasi 1, 67100, L'Aquila, Italy aut NATIONALLICENCE 700 1- Galzio Renato Department of Health Sciences (Neurosurgery), University of L'Aquila, Piazza S. Tommasi 1, 67100, L'Aquila, Italy aut NATIONALLICENCE 773 0- Neurosurgical Review Springer-Verlag 34/3(2011-07-01), 363-371 0344-5607 34:3<363 2011 34 10143 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer