Abstract
Ventriculoperitoneal (VP) shunt is a common procedure used to drain cerebrospinal fluid to treat hydrocephalus. Advances in laparoscopy tools and techniques made it possible to perform this procedure laparoscopically assisted. Complications of this procedure are also amenable to laparoscopic correction. This study outlines the safety and feasibility of laparoscopy in performing the procedure and management of its complications. A retrospective file review for all cases underwent laparoscopic-assisted VP shunt or laparoscopic management of one of its complications in the period 2015–2019. Laparoscopic-assisted procedure was done either by 3-port technique or a peritoneocentesis needle technique. Management of complications was done according to its nature. Over 4 years, we performed 36 laparoscopic-assisted VP shunt placement and 17 laparoscopic interventions for abdominal complications related to VP shunts. There were no intraoperative or postoperative complications related to the laparoscopic technique. Conversion to conventional laparotomy was done in 3 patients presented with hugely infected CSF pseudocysts with amalgamated intestine with the wall of the cyst. Laparoscopic-assisted VP shunt placement and revisions in children are feasible and safe. No special tools are required for the procedure.
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