Neagle Gregg, Bhatti Emma, Hawkins Martyn, Rodger Chris
General Surgery, Dumfries and Galloway Royal Infirmary, Dumfries, UK
Anaesthetics, Royal Alexandra Hospital, Paisley, UK.
BMJ Case Rep. 2020 Sep 16;13(9):e233159. doi: 10.1136/bcr-2019-233159.
The presence of a cerebrospinal fluid (CSF) shunt was previously considered a contra-indication to laparoscopic surgery, however, case reports appeared that describe laparoscopic surgery proceeding with no adverse outcomes in such patients. The majority of these reports relate to laparoscopic cholecystectomy. Here we present what we believe to be only the second report of a patient undergoing laparoscopic bowel resection in the presence of a lumbo-peritoneal shunt. With this case we aim to add to the evidence that more major laparoscopic procedures can be performed safely in the presence of CSF shunts and with a brief review of the current evidence, have suggested appropriate monitoring and precautionary measures for approaching these procedures.
脑脊液（CSF）分流管的存在以前被认为是腹腔镜手术的禁忌症，然而，出现了一些病例报告，描述了在此类患者中进行腹腔镜手术且无不良后果。这些报告大多与腹腔镜胆囊切除术有关。在此，我们呈现我们认为是第二例关于存在腰-腹腔分流管的患者接受腹腔镜肠切除术的报告。通过这个病例，我们旨在补充证据，证明在存在脑脊液分流管的情况下可以安全地进行更多大型腹腔镜手术，并通过对当前证据的简要回顾，提出进行这些手术时适当的监测和预防措施。
