Pal Kamalesh, Jindal Vikas
Department of Pediatric Surgery, Christian Medical College and Hospital, Ludhiana, Punjab, India.
Indian Pediatr. 2007 Jun;44(6):435-7.
Ventriculo peritoneal shunt is the preferred surgical management for hydrocephalus. Various sites namely cardiac atrium, pleural cavity, ureter, fallopian tubes, bladder and gastric lumen have been used as alternative for distal CSF flow. Gallbladder has been used sparingly in the past as a reservoir of CSF diversion. We report our experience with ventriculo-cholecystic (VC) shunt in 2 cases and recommend it as a simple and safe alternative .for CSF drainage particularly in the situations where serosal surface of abdomen is unfit or unavailable for absorption.
脑室腹腔分流术是脑积水的首选手术治疗方法。心脏心房、胸腔、输尿管、输卵管、膀胱和胃腔等不同部位已被用作脑脊液远端引流的替代部位。过去,胆囊作为脑脊液分流的储器使用较少。我们报告了2例脑室胆囊(VC)分流术的经验,并推荐其作为一种简单安全的脑脊液引流替代方法,特别是在腹部浆膜表面不适合或无法进行吸收的情况下。