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Laparoscopic Co-surgeon Ventriculoperitoneal Shunt Placement Versus Single Surgeon Mini Laparotomy.
Mulvaney, Graham; Arnold, Michael; Reinke, Caroline; Wait, Scott; Van Poppel, Mark; McLanahan, Scott; Schmelzer, Thomas; Cosper, Graham; Schulman, Andrew; Jernigan, Sarah.
Afiliação
  • Mulvaney G; Neurological Surgery, Carolinas Medical Center, Atrium Health, Charlotte, USA.
  • Arnold M; General Surgery, Carolinas Medical Center, Atrium Health, Charlotte, USA.
  • Reinke C; General Surgery, Carolinas Medical Center, Atrium Health, Charlotte, USA.
  • Wait S; Neurological Surgery, Carolinas Medical Center, Atrium Health, Charlotte, USA.
  • Van Poppel M; Neurological Surgery, Carolinas Medical Center, Atrium Health, Charlotte, USA.
  • McLanahan S; Neurological Surgery, Carolinas Medical Center, Atrium Health, Charlotte, USA.
  • Schmelzer T; Pediatric Surgery, Carolinas Medical Center, Atrium Health, Charlotte, USA.
  • Cosper G; Pediatric Surgery, Carolinas Medical Center, Atrium Health, Charlotte, USA.
  • Schulman A; Pediatric Surgery, Carolinas Medical Center, Atrium Health, Charlotte, USA.
  • Jernigan S; Neurological Surgery, Carolinas Medical Center, Atrium Health, Charlotte, USA.
Cureus ; 14(6): e26057, 2022 Jun.
Article em En | MEDLINE | ID: mdl-35747114
INTRODUCTION: Ventriculoperitoneal (VP) shunt placement is one of the most common treatments for pediatric hydrocephalus. However, device failures often occur, requiring operative revision of either the intraventricular or intraperitoneal shunt catheters. Historically, shunt placement was performed via laparotomy, but there has been a trend towards laparoscopic-assisted placement of the intraperitoneal portion of the shunt. We examined the outcomes of laparoscopic-assisted versus open VP shunt placement utilizing a local institutional retrospective review. METHODS: Single institution 2012-2017 retrospective review of all cases was performed. Patients were divided into two groups - laparoscopic and open. Thirty-day outcomes, patient age, surgery performed, surgical control time (SCT), length of stay (LOS), and readmission were analyzed.  Results: Cohort analysis inclusion criteria included 188 patients. The cohort analysis showed both decreased laparoscopic-assisted SCT (56.4 vs 32.1 min, p<0.0001) and postop complications (16.7% vs 7.1%, p<0.07). There was no significant difference in surgical site infection or readmission rates.  Conclusion: Local analysis show advantages for laparoscopic-assisted VP shunt placement over open single surgeon techniques with decreased SCT, LOS, and unplanned interventions.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies Idioma: En Revista: Cureus Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies Idioma: En Revista: Cureus Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos