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腹腔镜下取出两根移位的脑室腹腔分流管:病例报告

Laparoscopic removal of two dislocated ventriculoperitoneal catheters: case report.

作者信息

Pierangeli E, Pizzoni C, Lospalluti A, Gigante N, Colamaria A

机构信息

Neurosurgical Clinic and Clinic for General Surgery, University of Bari Medical School, Italy.

出版信息

Minim Invasive Neurosurg. 1999 Jun;42(2):86-8. doi: 10.1055/s-2008-1053377.

Abstract

In a child two previously migrated abdominal catheters from ventriculoperitoneal shunts were removed from the abdominal cavity by use of laparoscopy. Avoiding the usually longitudinal laparatomy, two small incisions were necessary to insert the laparoscope (sub-umbilical incision) and grasping forceps (left iliac pit incision). Laparoscopy allowed for identification of a working ventriculoperitoneal shunt, that was correctly in place, and for removal of two old migrated catheters. The child was mobilized the same day and the post-operative course was uneventful.

摘要

在一名儿童患者中,通过腹腔镜手术从腹腔取出了两根先前从脑室腹腔分流管移位至腹腔的导管。避免了通常采用的纵向剖腹手术,仅需两个小切口即可插入腹腔镜(脐下切口)和抓钳(左髂窝切口)。腹腔镜检查能够识别位置正确且仍在正常工作的脑室腹腔分流管,并取出两根移位的旧导管。患儿在同一天即可活动,术后恢复过程顺利。

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