一例为患有腰腹膜分流术的患者实施腹腔镜右输卵管卵巢切除术的病例。

A case in which laparoscopic right salpingo-oophorectomy was performed in a patient with a lumboperitoneal shunt.

作者信息

Nakagawa Mio, Egawa-Takata Tomomi, Kamino Yuri, Otoshi Ayuko, Fukuda Yayoi, Tokugawa Yoshimi, Tsukahara Chikako, Miyatake Takashi, Nishio Yukihiro

机构信息

Department of Obstetrics and Gynecology, Osaka Police Hospital, 10-31 Kitayama-cho Tennoji-ku, Osaka 543-0035, Japan.

出版信息

Int J Surg Case Rep. 2020;72:156-159. doi: 10.1016/j.ijscr.2020.05.065. Epub 2020 Jun 6.

DOI:10.1016/j.ijscr.2020.05.065

PMID:32535532

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7299902/

Abstract

INTRODUCTION

Ventriculoperitoneal (VP shunts) and lumboperitoneal shunts (LP shunts) are used to treat hydrocephalus. The effectiveness of LP shunts has recently been demonstrated. Due to population aging, the number of patients with LP shunts is expected to increase.

PRESENTATION OF CASE

A 51-year-old female, in whom an LP shunt had been inserted to treat hydrocephalus after a subarachnoid hemorrhage, underwent laparoscopic right salpingo-oophorectomy for a right endometriotic cyst. We consulted a neurosurgeon and confirmed the route of the shunt. We started a normal laparoscopic procedure. The head of the shunt tube was located in Douglas' pouch and was an obstacle to the procedure. We moved the head of the shunt tube to the vesicouterine pouch and successfully conducted the standard operation. We report the case together with a literature review.

DISCUSSION

There have been several reports about gynecological laparoscopic surgery being performed in patients with VP shunts. On the other hand, we did not find any English literature about gynecological laparoscopic surgery being conducted in patients with LP shunts during a PubMed search.

CONCLUSION

This is the first report about gynecological laparoscopic surgery being performed in a patient with an LP shunt.

摘要

引言

脑室腹腔分流术（VP分流术）和腰大池腹腔分流术（LP分流术）用于治疗脑积水。最近已证实LP分流术的有效性。由于人口老龄化，接受LP分流术的患者数量预计会增加。

病例介绍

一名51岁女性，在蛛网膜下腔出血后接受了LP分流术以治疗脑积水，因右侧子宫内膜异位囊肿接受了腹腔镜下右侧输卵管卵巢切除术。我们咨询了神经外科医生并确认了分流管的路径。我们开始了常规的腹腔镜手术。分流管头部位于Douglas窝，成为手术的障碍。我们将分流管头部移至膀胱子宫陷凹并成功完成了标准手术。我们报告该病例并进行文献综述。