caa a22 4500 475779029 CHVBK 20180406123639.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s004640020078 doi (NATIONALLICENCE)springer-10.1007/s004640020078 Laparoscopically assisted ventriculoperitoneal shunt placement using 2-mm instrumentationrid=""id=""Presented in poster format at the annual meeting of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES), San Antonio, Texas, USA, 24&ndash;27 March 1999 [Elektronische Daten] [P. R. Reardon, T. K. Scarborough, B. D. Matthews, J. L. Marti, A. Preciado] Background: Laparoscopy has potential benefit in the placement of ventriculoperitoneal shunts. In patients who have undergone multiple shunt revisions or other abdominal operations, laparoscopy may be particularly beneficial when finding of a suitable area in which to place the shunt is a concern. The purpose of this study was to evaluate the safety and effectiveness of laparoscopically assisted ventriculoperitoneal shunt placement, with an emphasis on using 2-mm instrumentation. Methods: Laparoscopically assisted ventriculoperitoneal shunt placement using 2-mm instrumentation was performed in eight adult hydrocephalus patients from August 1996 to September 1998. All eight patients had undergone 1 to 18 prior shunt revisions. The procedures were performed with two 2-mm trocars. The instrumentation consisted of a 2-mm laparoscope, a 2-mm grasper, and 2-mm scissors. All shunts were placed in an area free of adhesions and checked for flow under direct vision. Four of the patients required a lysis of adhesions to create a space adequate for catheter placement. Results: All of the procedures were successful, with no operative complications. The operative times ranged from 29 to 99 min, (mean, 63 min). The blood loss in all of the procedures was minimal. At this writing, none of the patients have required subsequent distal shunt revisions. No conversions to larger instruments or an open procedure were required. Conclusions: Laparoscopically assisted ventriculoperitoneal shunt placement using 2-mm instrumentation is safe and effective, offering several advantages over the open procedure. This procedure is ideal for the use of 2-mm instruments. Springer-Verlag New York Inc., 2000 Key words: Laparoscopy — Ventriculoperitoneal — Shunt — 2 mm nationallicence Reardon P. R. Department of Surgery, Baylor College of Medicine, Houston, TX 77030 USA, US aut Scarborough T. K. Department of Surgery, Baylor College of Medicine, Houston, TX 77030 USA, US aut Matthews B. D. Department of Surgery, Baylor College of Medicine, Houston, TX 77030 USA, US aut Marti J. L. Department of Surgery, Baylor College of Medicine, Houston, TX 77030 USA, US aut Preciado A. Department of Surgery, Baylor College of Medicine, Houston, TX 77030 USA, US aut Surgical Endoscopy Springer-Verlag 14/6(2000-06-01), 585-586 0930-2794 14:6<585 2000 14 464 https://doi.org/10.1007/s004640020078 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640020078 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Reardon P. R. Department of Surgery, Baylor College of Medicine, Houston, TX 77030 USA, US aut NATIONALLICENCE 700 1- Scarborough T. K. Department of Surgery, Baylor College of Medicine, Houston, TX 77030 USA, US aut NATIONALLICENCE 700 1- Matthews B. D. Department of Surgery, Baylor College of Medicine, Houston, TX 77030 USA, US aut NATIONALLICENCE 700 1- Marti J. L. Department of Surgery, Baylor College of Medicine, Houston, TX 77030 USA, US aut NATIONALLICENCE 700 1- Preciado A. Department of Surgery, Baylor College of Medicine, Houston, TX 77030 USA, US aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/6(2000-06-01), 585-586 0930-2794 14:6<585 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer