Zhang Chenyi, Jing Xinhui
Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, Shandong, P.R. China.
Department of Obstetrics and Gynecology, The Third Hospital of Jilin University, Changchun, Jilin, P.R. China.
J Surg Case Rep. 2021 Nov 11;2021(11):rjab380. doi: 10.1093/jscr/rjab380. eCollection 2021 Nov.
As medical diagnosis and treatment level improved, patients with ventriculoperitoneal shunt (VPS) live longer and may develop conditions that need laparoscopic surgery. The safety of laparoscopy in patients with VPS continues to be challenged due to pneumoperitoneum. Here, we report a patient with medical history of VPS and hemangioma, diagnosed with ovarian borderline mucinous cystadenoma, received laparoscopic surgery in supine position and 10 mmHg pneumoperitoneum pressure, in which no clamping or externalizing catheter, no perioperative or postoperative complications. We also present a literature review and discuss the precautions needing considering during laparoscopy. For patients with VPS, laparoscopic surgery can be recognized as a potentially safe and feasible procedure.
随着医学诊断和治疗水平的提高，脑室腹腔分流术（VPS）患者的寿命延长，可能会出现需要腹腔镜手术的情况。由于气腹的原因，VPS患者腹腔镜手术的安全性一直受到挑战。在此，我们报告1例有VPS和血管瘤病史的患者，诊断为卵巢交界性黏液性囊腺瘤，在仰卧位、气腹压力10 mmHg下接受腹腔镜手术，术中未夹闭或外置导管，无围手术期或术后并发症。我们还进行了文献综述，并讨论了腹腔镜手术期间需要考虑的注意事项。对于VPS患者，腹腔镜手术可被认为是一种潜在安全可行的手术。
