Esposito C, Porreca A, Gangemi M, Garipoli V, De Pasquale M
Cattedra di Chirurgia Pediatrica, Università degli Studi di Napoli "Federico II", Naples, Via Pansini 5, I-80131 Naples, Italy.
Pediatr Surg Int. 1998 Jul;13(5-6):352-4. doi: 10.1007/s003830050337.
Ventriculo-peritoneal shunts (VPS) are the most frequent operative procedures used to treat hydrocephalic children. Abdominal complications of VPS are now a rare event; however, their frequency varies from 5% to 47% according to reports. Anything that causes an obstruction or impediment of the VP derivation system will lead to intracranial hypertension, which requires immediate surgery. From 1985 to 1995 at the Division of Pediatric Surgery of the Federico II University of Naples, ten laparoscopies were performed in ten children with VPS complications. Cerebrospinal fluid pseudocysts were found in four infants. There was one case of abdominal wall perforation by the tip of the catheter at the umbilical level, two bowel obstructions, and one catheter was lost in the abdominal cavity. Finally, two children had malfunctioning of the peritoneal limb of the catheter. The laparoscopic technique was curative in all ten cases, thus avoiding a conventional laparotomy and the consequent risk of adhesions, which could cause further complications.
脑室腹腔分流术（VPS）是治疗脑积水患儿最常用的手术方法。VPS的腹部并发症现在已较为罕见；然而，根据报告，其发生率在5%至47%之间。任何导致VP引流系统阻塞或阻碍的情况都会导致颅内高压，这需要立即进行手术。1985年至1995年期间，那不勒斯费德里科二世大学儿科外科对10例患有VPS并发症的儿童进行了10次腹腔镜检查。在4例婴儿中发现了脑脊液假性囊肿。有1例导管尖端在脐部水平处穿出腹壁，2例肠梗阻，1例导管在腹腔内丢失。最后，2例患儿的导管腹腔端出现功能障碍。腹腔镜技术在所有10例病例中均取得了治愈效果，从而避免了传统剖腹手术以及随之而来的粘连风险，而粘连可能会导致进一步的并发症。
