scholarly journals A Case of Penetration of the Descending Colon by the Peritoneal Shunt Tube of a Subdural-Peritoneal Shunt System that was Treated by Laparoscopic Surgery

2019 ◽  
Vol 44 (2) ◽  
pp. 244-249
Author(s):  
Ryoto Yamazaki ◽  
Masanori Tada
Keyword(s):  
Laparoscopic Surgery ◽  
Shunt System ◽  
Shunt Tube ◽  
Descending Colon

scholarly journals An Indigenous Method of Securing Ventriculoperitoneal Shunt Tube in Peritoneal Cavity

2021 ◽  
Author(s):  
Samir Kumar Kalra ◽  
Krishna Shah ◽  
Sneyhil Tyagi ◽  
Suviraj John ◽  
Rajesh Acharya
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Operation Time ◽  
Complication Rates ◽  
Effective Technique ◽  
Common Procedure ◽  
Shunt System ◽  
Shunt Tube ◽  
Csf Diversion ◽  
Median Operation Time

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.

scholarly journals A Case of Asymptomatic Penetration by an Abdominal Catheter of a V-P Shunt System into the Descending Colon for about 2 years

2005 ◽  
Vol 14 (8) ◽  
pp. 517-521
Author(s):  
Takeshi Takayasu ◽  
Yoshihiro Kiura ◽  
Atsushi Tominaga ◽  
Kaoru Kurisu
Keyword(s):  
Shunt System ◽  
Descending Colon

scholarly journals Successful Laparoscopy-Assisted Resection of the Descending Colon in a Patient with Multiple Large Renal Cysts and Stricture of the Colon due to Ischemic Colitis

2018 ◽  
Vol 12 (2) ◽  
pp. 540-545
Author(s):  
Hiromichi Maeda ◽  
Ken Okamoto ◽  
Tsutomu Namikawa ◽  
Mai Shiga ◽  
Kazune Fujisawa ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Ischemic Colitis ◽  
Abdominal Cavity ◽  
Recovery Period ◽  
Renal Cysts ◽  
Postoperative Recovery ◽  
Left Colon ◽  
Serous Fluid ◽  
Postoperative Course ◽  
Descending Colon

Large pathological structures in the abdominal cavity curb the application of laparoscopic surgery. This case report describes a successful laparoscopy-assisted colectomy for benign colon disease in a patient with multiple large renal cysts. An 82-year-old man was referred to our department for treatment of stenosis of descending colon secondary to ischemic colitis. An abdominal computed tomography revealed multiple large renal cysts occupying a large proportion of the peritoneal cavity. To minimize the postoperative recovery period, laparoscopic surgery was planned despite the renal cysts. After inserting access ports, the walls of the several renal cysts were fenestrated with an electronic scalpel and the serous fluid was aspirated to enable continuation of the laparoscopic colectomy. The left colon was mobilized and extracted through an incision at the umbilicus, and the affected part of the colon was resected safely. The patient’s postoperative course was uneventful, and the present case suggests that laparoscopy-assisted colectomy can be performed safely even in patients with multiple large renal cysts.

Clinical outcomes of laparoscopic surgery for transverse and descending colon cancers in a community setting

2013 ◽  
Vol 6 (3) ◽  
pp. 186-191 ◽  
Author(s):  
Takeru Matsuda ◽  
Hirofumi Fujita ◽  
Yukihiro Kunimoto ◽  
Taisei Kimura ◽  
Tomomi Hayashi ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Clinical Outcomes ◽  
Community Setting ◽  
Colon Cancers ◽  
Descending Colon

scholarly journals Clinical outcomes of laparoscopic surgery for advanced transverse and descending colon cancer: a single-center experience

2011 ◽  
Vol 26 (6) ◽  
pp. 1566-1572 ◽  
Author(s):  
Masashi Yamamoto ◽  
Junji Okuda ◽  
Keitaro Tanaka ◽  
Keisaku Kondo ◽  
Nobuhiko Tanigawa ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Clinical Outcomes ◽  
Single Center ◽  
Single Center Experience ◽  
Descending Colon ◽  
Descending Colon Cancer

Laparoscopic Surgery for Transverse and Descending Colon Carcinomas Has Comparable Safety to Laparoscopic Surgery for Colon Carcinomas at Other Sites

2009 ◽  
Vol 26 (6) ◽  
pp. 487-492 ◽  
Author(s):  
Seiichiro Yamamoto ◽  
Shin Fujita ◽  
Takayuki Akasu ◽  
Tomohiro Yamaguchi ◽  
Yoshihiro Moriya
Keyword(s):  
Laparoscopic Surgery ◽  
Descending Colon

Evaluating the Learning Curve Associated with Laparoscopic Left Hemicolectomy for Colon Cancer

2013 ◽  
Vol 79 (4) ◽  
pp. 366-371 ◽  
Author(s):  
Masashi Yamamoto ◽  
Junji Okuda ◽  
Keitaro Tanaka ◽  
Keisaku Kondo ◽  
Keiko Asai ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Learning Curve ◽  
Splenic Flexure ◽  
Open Surgery ◽  
Operative Time ◽  
Left Hemicolectomy ◽  
Conversion To Open Surgery ◽  
Descending Colon ◽  
Descending Colon Cancer

The role of laparoscopic surgery for transverse and descending colon cancer remains controversial. The aim of the present study was to characterize the learning curve for laparoscopic left hemicolectomy including the splenic flexure and to identify factors that influence this learning curve. Data from 120 consecutive patients undergoing laparoscopic left hemicolectomy for transverse and descending colon cancer including the splenic flexure between December 1996 and December 2009 were analyzed. Patients undergoing resection combined with cholecystectomy, hepatectomy, hysterectomy, or gastrectomy were excluded. Operative time was analyzed using the moving average method. The operative time, conversion rate, and postoperative complication rate were evaluated among four groups based on the number of cases required for analysis of operative time. In addition, risk factors that influenced conversion to open surgery were analyzed. Operative time for left hemicolectomy decreased with increasing case number with stabilization at 30 cases. There was no significant difference in the conversion rate or postoperative complications over time. Significant factors for conversion to open surgery were T stage (odds ratio [OR], 5.56; 95% confidence interval [CI], 1.5 to 27.4) and previous abdominal surgery (OR, 5.38; 95% CI, 1.6 to 20.2). The learning curve for laparoscopic left hemicolectomy is steep. Thus, surgeons in the early part of this curve should carefully select patients to allow them to build experience in a stepwise manner. Laparoscopic surgery may become the gold standard for management of colon cancer regardless of stage or tumor location.

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