title: [Laparoscopic ventriculoperitoneal shunt with temporary external drainage for hydrocephalus: a comparison with conventional ventriculoperitoneal shunt].
abstract: OBJECTIVE
  To investigate the clinical efficacy of laparoscopic ventriculoperitoneal shunt with temporary external drainage in the treatment of hydrocephalus.
  
  
  METHODS
  Fifty-two cases of hydrocephalus randomized into two groups to receive laparoscopic assisted ventriculoperitoneal shunt with temporary external drainage (19 male and 7 female patients) and conventional ventriculoperitoneal shunt (20 male and 6 female patients). The catheterization time in the abdominal cavity, release time of intracranial hypertension, average hospital stay, postoperative pains, and postoperative complications were compared between the two groups.
  
  
  RESULTS
  Laparoscopic ventriculoperitoneal shunt with temporary external drainage was performed successfully in all the cases without intraoperative conversion to open surgery. Compared with the conventional ventriculoperitoneal shunt, laparoscopic ventriculoperitoneal shunt with temporary external drainage was associated with significantly shortened catheterization time in the abdominal cavity, release time of intracranial hypertension, and average hospital stay (P<0.01) as well as lowered postoperative pain score at 4, 8, 16, and 24 h after the operation. The pain scores at 48 and 72 h postoperatively were comparable between the two groups. During the follow-up 3 months, the patients receiving laparoscopic ventriculoperitoneal shunt were found to have significantly lower rates of peritoneal end obstruction and abdominal cavity infection than those having conventional shunt (3.8% vs 19.2%, P<0.01; 1.0% vs 23.1%, P<0.01).
  
  
  CONCLUSIONS
  Laparoscopic ventriculoperitoneal shunt with temporary external drainage is feasible and produces better clinical therapeutic effect for management of hydrocephalus.
authors.affiliation: Department of General Surgery, 422 Hospital of PLA, Zhangjian 524009, China. chenjf623@163.com
authors.forename: Jianfa
authors.initials: J
authors.lastname: Chen
authors.forename: Changxu
authors.initials: C
authors.lastname: Liu
authors.forename: Hongsheng
authors.initials: H
authors.lastname: Zhu
authors.forename: Ming
authors.initials: M
authors.lastname: Fu
authors.forename: Fulu
authors.initials: F
authors.lastname: Lin
authors.forename: Jun
authors.initials: J
authors.lastname: Liu
authors.forename: Kuilong
authors.initials: K
authors.lastname: Xie
authors.forename: Ping
authors.initials: P
authors.lastname: Li
mesh_terms: D034841:Abdominal Cavity; D000328:Adult; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D016896:Treatment Outcome; D017287:Ventriculoperitoneal Shunt / Q000379:methods*