title: Laparoscopic cholecystectomy in the presence of lumboperitoneal shunt.
abstract: Laparoscopic cholecystectomy remains the mainstay of treatment in patients with gallstone disease. Nowadays more than ever before, patients present with more comorbidities and entities that make the laparoscopic approach composite. One of these is the presence of lumboperitoneal (LP) shunts. Herein, we describe a case of successful laparoscopic cholecystectomy in a patient with an LP shunt and an occipital nerve stimulator in the anterior abdominal wall. We describe alterations in technique, aiming at surgeons that perform laparoscopic cholecystectomies with useful tips in order to successfully deliver the operation. A brief review of the literature in the current subject is also given.
authors: Department of General Surgery, Upper GI Unit, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, UK.
authors: Alexandros
authors: A
authors: Charalabopoulos
authors: Abraham J
authors: AJ
authors: Botha
references: Surg Endosc. 1997 Apr;11(4):376-80
references: 9094281
references: J Urol. 2000 Oct;164(4):1352-4
references: 10992414
references: J Laparoendosc Surg. 1992 Feb;2(1):57-9
references: 1576369
references: Urology. 1997 May;49(5):753-7
references: 9145983
references: Surg Laparosc Endosc Percutan Tech. 2005 Feb;15(1):28-9
references: 15714153
references: Surg Endosc. 1999 May;13(5):512-5
references: 10227954
references: Surg Endosc. 1995 Apr;9(4):409-10
references: 7660264
references: Pediatr Neurosurg. 1995;23(5):254-8; discussion 259
references: 8688350
references: JSLS. 1998 Apr-Jun;2(2):177-80
references: 9876734
references: Int J Surg Case Rep. 2011;2(6):157-8
references: 22096713
references: Hawaii Med J. 2010 Apr;69(4):103-4
references: 20481236
references: Mayo Clin Proc. 1993 Nov;68(11):1064-6
references: 8231270
references: J Trauma. 1994 Jun;36(6):815-8; discussion 818-9
references: 8015003
references: Am J Surg. 2011 Apr;201(4):503-7
references: 21421103
references: JSLS. 2007 Jan-Mar;11(1):14-9
references: 17651550
references: J Laparoendosc Surg. 1995 Oct;5(5):309-11
references: 8845504
references: J Laparoendosc Adv Surg Tech A. 2001 Feb;11(1):37-9
references: 11444322