腹腔镜脑室-腹腔分流术治疗脑积水体会

The treatment experience of laparoscopy in ventriculoperitoneal shunt

目的探讨腹腔镜在脑室腹腔分流手术(VPS)中的应用价值。方法 2000年8月～2008年8月该院神经外科进行156例腹腔镜脑室-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。结论腹腔镜辅助VPS技术具有腹部创伤小、效果好、并发症少等优点。

【Objective】To investigate the value of laparoscopy in ventriculoperitoneal shunt （VPS）.【Methods】In neurosurgery of the first affiliated hospital of Zhengzhou University,there are 156 cases of laparoscopic ventricle-shunt patients,we use laparoscopy to put the diffluence tube under the right diaphragm and fix it on the ligament teres hepatis.【Results】All of the laparoscopic surgery was successful.We follow up 133 cases for 14 to 24 months （average 17 months）,no laparoscopic surgery-related complications,such as the distal end of V-P shunt obstruction,Gastrointestinal symptoms,the injury of intra-abdominal and organ intra-abdominal infection,only 7 cases obstruction in the beginning of V-P shunt.【Conclusion】VPS-assisted laparoscopic technique has more advantages,such as minimal trauma,effective and little complication.