scholarly journals A Case of Penetration of the Peritoneal Shunt Tube of a Ventriculo-peritoneal Shunt System into the Transverse Colon that was Successfully Treated by Laparoscopic Surgery

2014 ◽  
Vol 75 (7) ◽  
pp. 1915-1918
Author(s):  
Yoshihiro MIYAGI ◽  
Tatsuya KINJO ◽  
Hiroyuki KARIMATA ◽  
Hideaki SHIMOJI ◽  
Tadashi NISHIMAKI
Author(s):  
Samir Kumar Kalra ◽  
Krishna Shah ◽  
Sneyhil Tyagi ◽  
Suviraj John ◽  
Rajesh Acharya

Abstract Introduction Ventriculoperitoneal shunt (VPS) is the most common procedure used for cerebrospinal fluid (CSF) diversion in hydrocephalus. Over the years, many technical, procedural, and instrument-related advancements have taken place which have reduced the associated complication rates. Shunt block is a very common complication irrespective of the shunt system used. The abdominal end of the shunt tube gets blocked usually due to plugging of omentum onto the shunt catheter. We describe a technique of catheter fixation and placement under vision coupled with omentopexy done laparoscopically to prevent this complication. Materials and Methods This technique was used in 23 patients (11 female, 12 male; range 16–73 years) afflicted with hydrocephalus from June 2016 and December 2019 after obtaining an informed consent, and the outcomes were noted in terms of shunt patency, complications, if any, and the need for revision. Results The median operation time was 90 minutes (range 35–160 minutes). All shunt catheters were still functional after a mean follow-up of 16.5 months (range 1–34 months) and none required revision. Conclusion Laparoscopic placement of shunt tube along with omental folding is a safe and effective technique for salvaging the abdominal end of VPS and may be helpful in reducing shunt blockage.


2019 ◽  
Vol 103 (1-2) ◽  
pp. 15-20
Author(s):  
Tetsuo Ishizaki ◽  
Kenji Katsumata ◽  
Masayuki Hisada ◽  
Masanobu Enomoto ◽  
Takaaki Matsudo ◽  
...  

This study describes the efficacy of the evaluation of blood vessel anatomy by 3-dimensional computed tomography (3D-CT) for laparoscopic surgery for transverse colon cancer (TCC). A total of 102 patients with TCC were examined by preoperative 3D-CT to clarify their blood vessel anatomy at Tokyo Medical University Hospital between January 2010 and December 2015, before undergoing laparoscopic surgery using the obtained 3D-CT data. Regarding blood vessel variation, the middle colic artery (MCA) was present in all patients (100%). The common duct type was observed in 89 patients (87.3%), and a type of branch separate from the superior mesenteric artery was observed in 13 patients (12.7%). The accessory MCA was present in 25 patients (24.5%). The middle colic vein was present in all patients (100%), and it drained into the following vessels: the superior mesenteric vein, gastrocolic trunk, first jejunal vein, and inferior mesenteric vein [67 (65.8%), 25 (24.5%) 8 (7.8%), and 2 (1.9%) patients, respectively]. Regarding the surgical outcome, the bleeding volume was 43 g, the operative time was 218 minutes, the number of harvested lymph nodes was 21, the proximal resection margin was 164 mm, the distal resection margin was 105 mm, and the length of postoperative hospital stay was 10 days. Although complicated variations and anomalies in the MCA and the contiguous veins were observed, preoperative 3D-CT will be useful for surgeons performing laparoscopic surgery on patients with TCC.


2017 ◽  
Vol 49 (6) ◽  
pp. 261-265
Author(s):  
Yasumitsu Hirano ◽  
Chikashi Hiranuma ◽  
Masakazu Hattori ◽  
Kenji Douden ◽  
Yasuo Hashizume ◽  
...  

2018 ◽  
Vol 34 (6) ◽  
pp. 322-325 ◽  
Author(s):  
Seung-Seop Yeom ◽  
Kyung Hwan Kim ◽  
Soo Young Lee ◽  
Chang Hyun Kim ◽  
Hyeong Rok Kim ◽  
...  

2014 ◽  
Vol 18 (5) ◽  
pp. 1003-1009 ◽  
Author(s):  
Liying Zhao ◽  
Yanan Wang ◽  
Hao Liu ◽  
Hao Chen ◽  
Haijun Deng ◽  
...  

Surgery Today ◽  
2013 ◽  
Vol 44 (7) ◽  
pp. 1266-1272 ◽  
Author(s):  
Yoshinori Hirasaki ◽  
Masaki Fukunaga ◽  
Masahiko Sugano ◽  
Kunihiko Nagakari ◽  
Seiitirou Yoshikawa ◽  
...  

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