Tubbs R Shane, Maher Cormac O, Young Ronald L, Cohen-Gadol Aaron A
Section of Pediatric Neurosurgery, Children's Hospital, University of Alabama, Birmingham, Alabama, USA.
J Neurosurg Pediatr. 2009 Oct;4(4):402-5. doi: 10.3171/2009.5.PEDS09152.
The authors describe a new technique for revision of an occluded distal ventriculoperitoneal shunt catheter that obviates the need for laparotomy or trocar insertion into the peritoneal cavity. The authors review their early experience with 34 patients suffering from a distal ventriculoperitoneal shunt failure and treated with this technique. There were no incidents of intraabdominal injury or wound complications. In 2 patients conversion to a minilaparotomy was required for safe placement of the shunt. Proper peritoneal placement was confirmed with abdominal radiographs in all cases. This technique has been safe and effective and may be considered an alternative to traditional laparotomy or laparoscopic methods.
作者描述了一种用于修复阻塞性远端脑室腹腔分流导管的新技术，该技术无需开腹或通过套管针插入腹腔。作者回顾了他们对34例远端脑室腹腔分流失败并采用该技术治疗的患者的早期经验。没有发生腹腔内损伤或伤口并发症。有2例患者为安全放置分流管需要转为迷你开腹手术。所有病例均通过腹部X光片确认分流管在腹腔内放置正确。该技术安全有效，可被视为传统开腹手术或腹腔镜手术方法的替代方案。
