Laparoscopic removal of a foreign body in the pelvic cavity through one port using a flexible cholangioscope.
BACKGROUND
More than two trocar ports 12 mm in diameter were usually used to remove a foreign body from the peritoneal cavity using laparoscopic surgery. We designed a method of laparoscopic removal through a single port 5 mm in diameter and a flexible cholangioscope.


METHODS
The patient had a ventriculoperitoneal shunt (V-P shunt) catheter implanted for hydrocephalus of unknown cause in his 40s. Endoscopic marsupialization of the third ventricle was performed because of functional failure of the V-P shunt catheter 7 years after the implantation. A falling off of the V-P shunt catheter into the pelvic space was detected, and laparoscopic removal of the V-P shunt catheter was performed. A laparoscope was inserted through a trocar port 5 mm in diameter to confirm the location of the V-P shunt catheter following replacement of the flexible cholangioscope to grasp the catheter. The catheter was held using a snare catheter through the cholangioscope. The V-P shunt catheter was removed by pulling through the trocar port with the flexible cholangioscope.


CONCLUSIONS
Laparoscopic removal is a good technique for removal of a foreign body in the peritoneal cavity. It enables one-port laparoscopic removal using a flexible cholangioscope.
Kurita
Nobuhiro
N
Department of Surgery, University of Tokushima, Kuramoto-cho 3-18-15, Tokushima, Japan. kurita@clin.med.tokushima-u.ac.jp
Shimada
Mitsuo
M
Nakao
Toshihiro
T
Chikakiyo
Motoya
M
Miyatani
Tomohiko
T
Higashijima
Jun
J
Yoshikawa
Kozo
K
Nishioka
Masanori
M
Iwata
Takashi
T
D002404:Catheterization; D020878:Device Removal / Q000295:instrumentation / Q000379:methods*; D005547:Foreign Bodies / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010388:Pelvis; D016896:Treatment Outcome; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects