腹腔镜检查用于处理移位至结肠的脑室腹腔分流管。
Laparoscopy for a ventriculoperitoneal shunt tube dislocated into the colon.
作者信息
Knuth Jurgen, Detzner Michael, Heiss Markus M, Weber Friedrich, Bulian Dirk R
机构信息
Department of Abdominal, Vascular and Transplant Surgery, University of Witten/Herdecke, Cologne-Merheim Medical Center, Cologne, Germany; Department of General, Visceral, Vascular and Thoracic Surgery, Clinic of Kempten, Kempten, Germany; Klinik für Viszeral-, Gefäß- und Transplantationschirurgie, Kliniken der Stadt Köln, Krankenhaus Merheim, 51058 Köln, Germany.
Department of Neurosurgery, Cologne-Merheim Medical Center, Cologne, Germany.
出版信息
JSLS. 2013 Oct-Dec;17(4):675-8. doi: 10.4293/108680813X13794522666527.
INTRODUCTION
Implantation of a ventriculoperitoneal (VP) shunt is a standard procedure for hydrocephalus. Different complications can occur, one of them being migration of the distal end of the tube.
CASE DESCRIPTION
The abdominal end of a VP shunt tube had migrated into the descending colon. In a laparoscopic procedure, the shunt was retrieved, and the colonic perforation site was resected. The patient had a favorable outcome.
DISCUSSION
Laparoscopy can play a key role and is recommended not only to make an exact diagnosis, but also for definite, safe, and trauma-minimizing treatment of intraabdominal VP shunt dysfunction.
引言
脑室腹腔（VP）分流术是治疗脑积水的标准手术。可能会出现不同的并发症，其中之一是分流管远端移位。
病例描述
一根VP分流管的腹腔端移位至降结肠。在腹腔镜手术中，取出了分流管，并切除了结肠穿孔部位。患者预后良好。
讨论
腹腔镜检查可发挥关键作用，不仅建议用于准确诊断，还建议用于对腹腔内VP分流功能障碍进行明确、安全且创伤最小化的治疗。
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