Retrospective Comparative Study of Transumbilical Single-Incison Laparoscopic Assisted and Laparotomy Ventriculoperitoneal Shunting: A Single Center Experience_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHURen-zhong ¹ , YUHong ¹ , YUANYe ² , YANGYong-jie ² , WUShuo-dong ¹ ,  YUHong ¹

1. The Second Department of General Surgery, Shengjing Hospital, China Medical University, Shenyang 110004, Liaoning Province, China;
2. The Second Department of Neurosurgery, Shengjing Hospital, China Medical University, Shenyang 110004, Liaoning Province, China;

Corresponding author：

YUHong, Email: yuhong1973@163.com

Keywords：

Ventriculoperitoneal shunting; Single-incision laparoscopy; Hydrocephalus

DOI：

10.7507/1007-9424.20160251

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To analyze safety and feasibility of transumbilical single-incision laparoscopic assisted ventriculoperitoneal shunting. Methods The clinical data of 36 patients who diagnosed as hydrocephalus underwent ventriculoperitoneal shunting from May 2013 to August 2015 in this hospital were collected. Twelve patients were performed transumbilical single-incision laparoscopic assisted ventriculoperitoneal shunting (laparoscopy group) and 24 patients were performed laparotomy ventriculoperitoneal shunting (laparotomy group). The abdominal operation time, postoperative exhaust time, postoperative hospital stay, postoperative pain score, and postoperative complications rate were compared between the laparoscopy group and the laparotomy group. Results All the operations were completed successfully. Compared with the laparotomy group, the abdominal operation time (P < 0.05), postoperative exhaust time (P < 0.05), and postoperative hospital stay (P < 0.05) were significantly shorter, the postoperative pain score was significantly less (P < 0.05) in the laparoscopy group. The postoperative complications rate had no significant difference between the laparoscopy group and the laparotomy group (P > 0.05). Conclusions The preliminary results of limited cases in this study show that transumbilical single-incision laparoscopic assisted ventriculoperitoneal shunting is safe and feasible, with better cosmetic. more comparative studies or randomized controlled trials are required to make a confirmed conclusion.

Citation： ZHURen-zhong, YUHong, YUANYe, YANGYong-jie, WUShuo-dong, YUHong. Retrospective Comparative Study of Transumbilical Single-Incison Laparoscopic Assisted and Laparotomy Ventriculoperitoneal Shunting: A Single Center Experience. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(8): 957-960. doi: 10.7507/1007-9424.20160251 Copy

1.	Roth JS, Park AE, Gewirtz R. Minilaparoscopically assisted placement of ventriculoperitoneal shunts. Surg Endosc, 2000, 14(5):461-463.
2.	Jea A, Al-Otibi M, Bonnard A, et al. Laparoscopy-assisted ventriculoperitoneal shunt surgery in children:a series of 11 cases. J Neurosurg, 2007, 106 (6 Suppl):421-425.
3.	Fanelli RD, Mellinger DN, Crowell RM, et al. Laparoscopic ventriculoperitoneal shunt placement:a single-trocar technique. Surg Endosc, 2000, 14(7):641-643.
4.	Armbruster C, Blauensteiner J, Ammerer HP, et al. Laparoscopically assisted implantation of ventriculoperitoneal shunts. J Laparoendosc Surg, 1993, 3(2):191-192.
5.	Pelosi MA, Pelosi MA 3rd.Laparoscopic appendectomy using a single umbilical puncture (minilaparoscopy). J Reprod Med, 1992, 37(7):588-594.
6.	张宇强, 杨玲, 王辉, 等.腹腔镜下脑室-腹腔分流术治疗小儿脑积水66例疗效分析.临床神经外科杂志, 2013, 10(5):312-313.
7.	李德康, 杨晓滨, 张孙富.脑室腹腔分流术中腹腔气腹穿刺术的运用.中国实用医药, 2014, 27(9):249-250.
8.	司亚卿, 王佳辰.腹腔镜-脑室分流术治疗脑积水156例.山东医药, 2009, 49(2):33.
9.	Cozzens JW, Chandler JP. Increased risk of distal ventriculoperitoneal shunt obstruction associated with slit valves or distal slits in the peritoneal catheter. J Neurosurg, 1997, 87(5):682-686.
10.	Jackman SV, Weingart JD, Kinsman SL, et al. Laparoscopic surgery in patients with ventriculoperitoneal shunts:safety and monitoring. J Urol, 2000, 164(4):1352-1354.
11.	宋志军, 陈晓雷, 唐运林, 等.脑室镜与腹腔镜在交通性脑积水脑室腹腔分流术中的联合应用.中华外科杂志, 2015, 53(10):772-775.
12.	Pinto FC, de Oliveira MF. Laparoscopy for ventriculoperitoneal shunt implantation and revision surgery. World J Gastrointest Endosc, 2014, 6(9):415-418.
13.	Roth J, Sagie B, Szold A, et al. Laparoscopic versus non-laparoscopicassisted ventriculoperitoneal shunt placement in adults. A retrospective analysis. Surg Neurol, 2007, 68(2):177-184.
14.	衣服新, 白敬洋, 马俊.等.腹腔镜辅助下脑室腹腔分流术治疗脑积水的临床研究.重庆医学, 2012, 41(13):1270-1271.
15.	Stefanopoulos A, Economopoulos KP, Kalles V. Single incision laparoscopic sleeve gastrectomy:a review. Obes Surg, 2015, 25(8):1502-1510.
16.	Keller DS, Haas EM. Single-incision laparoscopic colon and rectal surgery. Clin Colon Rectal Surg, 2015, 28(3):135-139.
17.	Yu H, Wu S, Yu X, et al. Single-incision iaparoscopic biliary bypass for malignant obstructive jaundice. J Gastrointest Surg, 2015, 19(6):1132-1138.
18.	Hong WC, Lai PS, Chien YH, et al. Single-incision laparoscopic surgery (SILS) for ventriculoperitoneal shunt placement. J Neurol Surg A Cent Eur Neurosurg, 2013, 74(6):351-356.
19.	Kamine TH, Papavassiliou E, Schneider BE. Effect of abdominal insufflation for laparoscopy on intracranial pressure. JAMA Surg, 2014, 149(4):380-382.
20.	Citerio G, Vascotto E, Villa F, et al. Induced abdominal compartment syndrome increases intracranial pressure in neurotrauma patients:a prospective study. Crit Care Med, 2001, 29(7):1466-1471.
21.	Deeren DH, Dits H, Malbrain ML. Correlation between intra-abdominal and intracranial pressure in nontraumatic brain injury. Intensive Care Med, 2005, 31(11):1577-1581.
22.	Kamine TH, Elmadhun NY, Kasper EM, et al. Abdominal insufflation for laparoscopy increases intracranial and intrathoracic pressure in human subjects. Surg Endosc, 2015 Dec 23.[Epub ahead of print].
23.	Scalea TM, Bochicchio GV, Habashi N, et al. Increased intra-abdominal, intrathoracic, and intracranial pressure after severe brain injury:multiple compartment syndrome. J Trauma, 2007, 62(3):647-656.

1. Roth JS, Park AE, Gewirtz R. Minilaparoscopically assisted placement of ventriculoperitoneal shunts. Surg Endosc, 2000, 14(5):461-463.
2. Jea A, Al-Otibi M, Bonnard A, et al. Laparoscopy-assisted ventriculoperitoneal shunt surgery in children:a series of 11 cases. J Neurosurg, 2007, 106 (6 Suppl):421-425.
3. Fanelli RD, Mellinger DN, Crowell RM, et al. Laparoscopic ventriculoperitoneal shunt placement:a single-trocar technique. Surg Endosc, 2000, 14(7):641-643.
4. Armbruster C, Blauensteiner J, Ammerer HP, et al. Laparoscopically assisted implantation of ventriculoperitoneal shunts. J Laparoendosc Surg, 1993, 3(2):191-192.
5. Pelosi MA, Pelosi MA 3rd.Laparoscopic appendectomy using a single umbilical puncture (minilaparoscopy). J Reprod Med, 1992, 37(7):588-594.
6. 张宇强, 杨玲, 王辉, 等.腹腔镜下脑室-腹腔分流术治疗小儿脑积水66例疗效分析.临床神经外科杂志, 2013, 10(5):312-313.
7. 李德康, 杨晓滨, 张孙富.脑室腹腔分流术中腹腔气腹穿刺术的运用.中国实用医药, 2014, 27(9):249-250.
8. 司亚卿, 王佳辰.腹腔镜-脑室分流术治疗脑积水156例.山东医药, 2009, 49(2):33.
9. Cozzens JW, Chandler JP. Increased risk of distal ventriculoperitoneal shunt obstruction associated with slit valves or distal slits in the peritoneal catheter. J Neurosurg, 1997, 87(5):682-686.
10. Jackman SV, Weingart JD, Kinsman SL, et al. Laparoscopic surgery in patients with ventriculoperitoneal shunts:safety and monitoring. J Urol, 2000, 164(4):1352-1354.
11. 宋志军, 陈晓雷, 唐运林, 等.脑室镜与腹腔镜在交通性脑积水脑室腹腔分流术中的联合应用.中华外科杂志, 2015, 53(10):772-775.
12. Pinto FC, de Oliveira MF. Laparoscopy for ventriculoperitoneal shunt implantation and revision surgery. World J Gastrointest Endosc, 2014, 6(9):415-418.
13. Roth J, Sagie B, Szold A, et al. Laparoscopic versus non-laparoscopicassisted ventriculoperitoneal shunt placement in adults. A retrospective analysis. Surg Neurol, 2007, 68(2):177-184.
14. 衣服新, 白敬洋, 马俊.等.腹腔镜辅助下脑室腹腔分流术治疗脑积水的临床研究.重庆医学, 2012, 41(13):1270-1271.
15. Stefanopoulos A, Economopoulos KP, Kalles V. Single incision laparoscopic sleeve gastrectomy:a review. Obes Surg, 2015, 25(8):1502-1510.
16. Keller DS, Haas EM. Single-incision laparoscopic colon and rectal surgery. Clin Colon Rectal Surg, 2015, 28(3):135-139.
17. Yu H, Wu S, Yu X, et al. Single-incision iaparoscopic biliary bypass for malignant obstructive jaundice. J Gastrointest Surg, 2015, 19(6):1132-1138.
18. Hong WC, Lai PS, Chien YH, et al. Single-incision laparoscopic surgery (SILS) for ventriculoperitoneal shunt placement. J Neurol Surg A Cent Eur Neurosurg, 2013, 74(6):351-356.
19. Kamine TH, Papavassiliou E, Schneider BE. Effect of abdominal insufflation for laparoscopy on intracranial pressure. JAMA Surg, 2014, 149(4):380-382.
20. Citerio G, Vascotto E, Villa F, et al. Induced abdominal compartment syndrome increases intracranial pressure in neurotrauma patients:a prospective study. Crit Care Med, 2001, 29(7):1466-1471.
21. Deeren DH, Dits H, Malbrain ML. Correlation between intra-abdominal and intracranial pressure in nontraumatic brain injury. Intensive Care Med, 2005, 31(11):1577-1581.
22. Kamine TH, Elmadhun NY, Kasper EM, et al. Abdominal insufflation for laparoscopy increases intracranial and intrathoracic pressure in human subjects. Surg Endosc, 2015 Dec 23.[Epub ahead of print].
23. Scalea TM, Bochicchio GV, Habashi N, et al. Increased intra-abdominal, intrathoracic, and intracranial pressure after severe brain injury:multiple compartment syndrome. J Trauma, 2007, 62(3):647-656.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Retrospective Comparative Study of Transumbilical Single-Incison Laparoscopic Assisted and Laparotomy Ventriculoperitoneal Shunting: A Single Center Experience

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