title: [One-stage operation of ventriculo-peritoneal shunt and cranioplasty: analysis of 54 cases].
abstract: OBJECTIVE
  To study the application of one-stage operation of ventriculo-peritoneal shunt and cranioplasty for hydrocephalus complicated by skull defect.
  
  
  METHODS
  The clinical records of 54 patients with hydrocephalus complicated by skull defect treated with one-stage operation of ventriculo-peritoneal shunt and cranioplasty were reviewed in comparison with those of 30 patients receiving two-stage operations.
  
  
  RESULTS
  The clinical outcome of the patients receiving the two surgical procedures did not differ significantly, but two patients undergoing one-stage operation required replacement of the shunt pump due to elevation of intracranial pressure. Implementation of one-stage operations shortened the length of hospital stay and reduced the expense of patients.
  
  
  CONCLUSIONS
  Hydrocephalus in combination with skull defect can be treated generally with one-stage operations and care must be taken in choosing adequate shunt tube according to the intracranial pressure measured preoperatively.
authors.affiliation: Department of Neurosurgery, 309 Hospital of PLA, Beijing 100091, China. davidzhou2360@hotmail.com
authors.forename: Qing
authors.initials: Q
authors.lastname: Zhou
authors.forename: Shi-Zhong
authors.initials: SZ
authors.lastname: Zhang
authors.forename: Ru-Xiang
authors.initials: RX
authors.lastname: Xu
authors.forename: Jian-Qi
authors.initials: JQ
authors.lastname: Wang
authors.forename: Yan-Yang
authors.initials: YY
authors.lastname: Tu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D006259:Craniocerebral Trauma / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D012886:Skull / Q000293:injuries / Q000601:surgery*; D017287:Ventriculoperitoneal Shunt