腹腔镜脑室-腹腔分流术治疗脑积水156例报告

目的探讨腹腔镜在脑室腹腔分流术（ventriculope ritoneal shunt,V-P分流术）中的应用价值。方法2000年8月～2008年8月,对156例脑积水行腹腔镜脑室-腹腔分流术,将引流管通过腹腔镜手术置于右膈下,并结扎、固定于肝圆韧带。结果手术均获成功,133例随访14～24个月,平均17个月,无脑室分流管远端梗阻、消化道症状、腹内脏器损伤以及感染等腹腔镜手术相关并发症,仅有7例脑室端堵塞。结论腹腔镜V-P分流术具有腹部创伤小、效果好、并发症少等优点。

Experience on Laparoscopic Surgery for Ventriculoperitoneal Shunt

Objective To investigate the value of laparoscopy in the treatment of ventriculoperitoneal shunt （VPS）. Methods From August 2000 to August 2008, 156 patients with hydrocephalus received VPS in our hospital. During the operation, a drainage tube was placed under the right diaphragm, and then fixed to the round ligament. Results The laparoscopic surgery was successfully completed in all of the cases. A mean of 17-month follow-up （ 14 to 24 months） was achieved in 133 of them. During the period, no distal VPS obstruction, gastrointestinal symptoms, intra-abdominal organs injury or infection occurred. Seven patients presented with obstruction of the VPS at the ventricle side. Conclusion Laparoscopy is a minimally invasive technique for the treatment of VPS with good outcomes and few complications.