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67th Annual Meeting of the German Society of Neurosurgery (DGNC)
Joint Meeting with the Korean Neurosurgical Society (KNS)

German Society of Neurosurgery (DGNC)

12 - 15 June 2016, Frankfurt am Main

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Laparoscopic peritoneal catheter insertion in ventriculoperitoneal shunting leads 0% peritoneal shunt misplacement – A single center report of 595 patients

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  • Athanasios K. Petridis - Neurochirurgische Klinik, Sana Kliniken Duisburg, Duisburg, Germany; Neurochirurgische Klinik, Universitätsklinikum Düsseldorf, Düsseldorf, Germany
  • Ameer Alyeldien - Neurochirurgische Klinik, Sana Kliniken Duisburg, Duisburg, Germany
  • Martin Scholz - Neurochirurgische Klinik, Sana Kliniken Duisburg, Duisburg, Germany

Deutsche Gesellschaft für Neurochirurgie. 67. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 1. Joint Meeting mit der Koreanischen Gesellschaft für Neurochirurgie (KNS). Frankfurt am Main, 12.-15.06.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. DocMI.21.03

doi: 10.3205/16dgnc365, urn:nbn:de:0183-16dgnc3655

Published: June 8, 2016

© 2016 Petridis et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: In most departments, the peritoneal catheter of ventriculoperitoneal shunts is inserted by laparotomy. We analyze the complications, advantages and disadvantages of endoscopic shunt insertion of the peritoneal catheter in ventriculoperitoneal shunts. The shunt insertion is an interdisciplinary surgical procedure of neurosurgeons and abdominal surgeons.

Method: In the last 13 years, 595 ventriculo-peritoneal shunt insertions were performed in our department. We analyzed the patient cases retrospectively with respect to the specific question of peritoneal catheter complications. In all patients the peritoneal catheter was placed laparoscopically by general surgeons.

Results: There was a 0% peritoneal catheter misplacement with the laparoscopic insertion technique. In two cases (0.49%) injury of the small bowel could be repaired immediately with no further action required. There was no increased risk of abdominal infections.

Conclusions: 595 cases were analyzed and none of them had a peritoneal shunt misplacement. There is no need for x-ray of the abdomen as well as no prolonged surgery. The laparoscopic shunt insertion which is performed by a general / abdominal surgeon is safe and highly effective.