Laparoscopy assisted ventriculoperitoneal shunt placement in children
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Topic overview
Abstract
Background
Placement of ventriculoperitoneal shunts (VPS) can be challenging in children with previous VPS, previous abdominal surgery, or complex abdominal pathology. Laparoscopy can help identify intra-abdominal adhesions and determine the optimal site for insertion of the distal VPS catheter. We analyzed the feasibility and safety of laparoscopy assisted VPS placement (lapVPS) in children.
Methods
A retrospective review from January/2015 to December/2018 was performed. Laparoscopy was performed via a 5 mm trans-umbilical port. Once the optimal entry site was identified, the distal end of the VPS was inserted by Seldinger technique under direct laparoscopic guidance.
Results
One hundred ten lapVPS procedures were reviewed. Median age was 1 (IQR 0.3–9.37) year. Fifty-five (50%) patients were
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