脳室-腹腔シャント造設術における腹腔鏡下腹腔側チューブ留置法

概要

論文の詳細を見る
Ventriculo-peritoneal shunt (VPS) is an important operation for patients with hydrocephalus. But, we often experience shunt failures caused by inappropriate location of the catheter tip in the abdominal cavity. On the other hand, laparoscopic surgery has lower rate of postoperative adhesion and can observe abdominal cavity smoothly. Then, laparoscopy-assisted placement of abdominal VPS tip has a possibility of decreasing the rate of shunt failure. After May 2005, we induced laparoscopic technique for VPS operation, and get a good result of short term complication. Therefore, we report a technique of this method. At now, we operated 8 cases and not experienced any complications or failures. Mean operative time was 38 minutes, and operative bleeding was very few on each cases. Therefore, laparoscopy -assisted VPS operation has many advantages and possibility of decreasing the rate of shunt failure.
学校法人昭和大学・昭和医学会の論文