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Acta Neurochirurgica

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01-12-2024 | Laparoscopy | Review Article

To assess the safety of laparoscopy in patients with CSF catheters draining distally into the abdomen

Authors: Muhammad Shahzad, Balint Borbas, Agbolahan Sofela, Samiul Muquit

Published in: Acta Neurochirurgica | Issue 1/2024

Abstract

Purpose

This study evaluates the safety of laparoscopic procedures in patients with cerebrospinal fluid (CSF) catheters draining distally into the abdomen.

Methods

A systematic search across PubMed, Scopus, and Ovid databases using pertinent keywords yielded 47 relevant papers, encompassing 197 cases, for analysis.

Results

In the pediatric cohort (n = 129), male (49.6%) and female (34.1%) cases were reported, while gender remained unspecified in 16.3%. Shunt indications included unspecified (126 cases) and Meningomyelocele (3 cases). Laparoscopic procedures encompassed gastric (72.1%), urologic (21.7%), and other (6.2%) indications. Peri-operative shunt management included subcostal incision and clamping (1), ICP monitoring and drainage (2), and distal shunt flow confirmation (1). The prevalent complication was mechanical obstruction (10.1%), followed by pseudocyst formation (1.5%) and infection (2.3%).

In the adult cohort (n = 61), males (60.6%) and females (39.3%) with a median age of 55 years were observed. Management strategies encompassed sponge packing and mobilization (11), distal shunt flow confirmation (2), shunt clamping (3), Transcranial Doppler monitoring (2), and no manipulation (30). Shunt infection emerged as the primary complication (2).

Overall, 24 patients encountered VP shunt-related complications post-laparoscopy.

Conclusion

This study underscores the safety of laparoscopic interventions in patients with ventriculoperitoneal or lumboperitoneal shunts when facilitated by interdisciplinary cooperation. A meticulous preoperative assessment for shunt track localization, intraoperative visualization of shunt tip with CSF flow, vigilant perioperative anesthetic monitoring, and shunt dysfunction surveillance are crucial for favorable outcomes in laparoscopic procedures for these patients.

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Title: To assess the safety of laparoscopy in patients with CSF catheters draining distally into the abdomen
Authors: Muhammad Shahzad
Balint Borbas
Agbolahan Sofela
Samiul Muquit
Publication date: 01-12-2024
Publisher: Springer Vienna
Keywords: Laparoscopy
Intracranial Hypertension
Hydrocephalus
Hydrocephalus
Hydrocephalus
Published in: Acta Neurochirurgica / Issue 1/2024
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-024-05898-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

To assess the safety of laparoscopy in patients with CSF catheters draining distally into the abdomen

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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