Neurosurgery Division, Walter Reed National Military Medical Center, Bethesda, MD.
Bethesda Chevy Chase High School, Bethesda, MD.
Urology. 2021 Feb;148:260-263. doi: 10.1016/j.urology.2020.07.033. Epub 2020 Jul 31.
This report describes the case of a 5-year-old male with intractable hydrocephalus secondary to neonatal intraventricular hemorrhage who was ultimately managed with the placement of a ventriculo-ureteral (VU) shunt. He had previously failed numerous attempts at cerebrospinal fluid shunting, choroid plexus cauterization, and endoscopic third ventriculostomy. The patient had a history of end stage renal disease, and had previously undergone renal transplant. In an operation that involved Neurosurgeons, Pediatric Urologists, and Transplant surgeons, a Gibson incision was used to avoid the patient's multiple intra-abdominal adhesions, and his nonfunctioning renal unit was used to implant a VU shunt without early or late complications.
本报告介绍了一例 5 岁男性患儿，因新生儿脑室出血导致难治性脑积水，最终通过脑室-输尿管（VU）分流术进行治疗。他之前曾多次尝试脑脊液分流、脉络丛烧灼和内镜第三脑室造瘘术，但均未成功。该患儿患有终末期肾病，曾接受过肾移植。在一次涉及神经外科医生、小儿泌尿科医生和移植外科医生的手术中，采用了 Gibson 切口，以避免患儿的多处腹腔粘连，并利用其无功能的肾脏单位植入 VU 分流管，未出现早期或晚期并发症。
