Page 41 - World Journal of Laparoscopic Surgery

Laparoscopic Intervention after VP Shunt
Table 1: An overview of studies reported different laparoscopic operations (general surgery, gynecology, and urology) in patients with VP shunts
Pneumoperitoneum
Author, year Cases sex (F/M) Age (year) Operations Age of VP shunt pressure (mm Hg) Complications
Schwed, 1992 1 (F) 73 Cholecystectomy 10 days 15 Massive
subcutaneous
emphysema
Collure, 1995 4 (1 F/3 M) 39–75 Cholecystectomy 1–20 years 10–15 Multiple organ
failure (1 case),
1 conversion to
laparotomy
Tobias, 1996 1 (F) 64 Staging laparoscopy 7 years 15 Conversion to
laparotomy
Uzzo, 1997 2 (1F/1M) 7 & 8 Bladder 7 years 12
autoaugmentation
Gaskill, 1998 1 (F) 16 Fundoplication 16 years N/A
Baskin, 1998 1 (M) 52 Jejunostomy 5 days 15 Shunt dysfunction
Jackman, 2000 18 (12 F/6 M) 13.2 (1–28) Colostomy N.A 16 (12–20) 3 shunt revisions
Walker, 2000 10 (N/A) 1–16 Funduplication, N/A 10–15
cholecystectomy
Kimura, 2002 2 (1 F/1 M) 9–13 Cholecystectomy N/A N/A
Brown, 2004 1 (M) 59 Prostatectomy in pros- 28 years 15
tate cancer
Ravaoherisoa, 2004 1 (F) 36 Resection of an ovarian N/A N/A
cyst
Al-Mufarrej, 2005 1 (F) 34 Cholecystectomy 3 years 13
Martinez Ramos, 2006 1 (F) 33 Cholecystectomy N/A N/A
Barina, 2007 3 Appendectomy N/A N/A 2 shunt removal
Li, 2008 7 47 (2–79) 4 cholecystectomy and N/A N/A
3 gastric bypass surgeries
Fraser, 2009 51 3.5 Fundoplication/ 1.3yr 1 shunt infection
gastrostomy and removal
Hammill, 2010 1 (F) 71 Cholecystectomy 10 years N/A
Allam, 2011 14 59 Cholecystectomy N/A N/A 8 conversions
to laparotomy,
2 cases of VP
shunt removal
Bush, 2011 1 (F) 34 Robotic hysterectomy 24 12
Damrah, 2011 1 (M) 64 Cholecystectomy 6 12–15
Ghomi, 2011 1 21 Hysteropexy N/A 5–15
Raskin, 2011 1 (F) 24 Bilateral 20 years 50 Pneumocephalus,
salpingo-oophorectomy conversion to
in endometriosis laparotomy
Sankpal, 2011 1 (F) 32 Salpingotomy in ectopic 10 years 12
pregnancy
Torigoe, 2013 38 1 (F) 51 Colectomy in cecal N/A 8
cancer
Cobianchi, 2014 1 (M) 41 Cholecystectomy 1 12
Albarrak, 2015 1 (F) 41 Cholecystectomy 3 years 12
Our case, 2020 1 (F) 74 Biopsies in the cancer of 12 14–20
ovary
22
In 1997, Uzzo et al. used intraoperative ICP monitoring laparoscopic operations, looking for signs of increased ICP. They
(introduction of the needle into the shunt reservoir) and saw a sudden reported no evidence of clinically increased ICP.
28
increase in ICP by 12 mm Hg to a maximum of 25 mm Hg. This was In 2004, Ravaoherisoa et al. reported a successful laparoscopic
matched by an increase in the flow rate of the CSF from the shunt, resection of an ovarian cyst and described the use of transcranial
and no adverse neurological effects were observed postoperatively. Doppler. There was no difference in cerebral blood flow when
1
Jackman et al. reviewed the intraoperatively documented the patient was placed in the Trendelenburg position with an
records of 18 patients with a VP shunt after 19 consecutive insufflation pressure of 10 mm Hg. However, there was a decrease

World Journal of Laparoscopic Surgery, Volume 13 Issue 1 (January–April 2020) 39