Laparoscopic Cholecystectomy in the Presence of a Lumboperitoneal Shunt

Kerwat, Rajab; Krishnan, Venkatram; Appadurai, I. R.; Rees, B I

doi:10.1089/10926420150502922

Cited by 15 publications

(13 citation statements)

References 9 publications

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“…Kerwat et al [ 5 ] showed that performing laparoscopic cholecystectomy, with no externalization of the shunt catheter, to be a safe procedure. Furthermore, Jakman et al [ 1 ] found no clinically significant increase in ICP, in patients with VP shunts, with insufflations pressure of 16 mmHg and average of 3 h operative time.…”

Section: Discussionmentioning

confidence: 99%

A novel safe approach to laparoscopic colorectal cancer resection in patients with ventriculoperitoneal shunt: report of two cases and literature review

Shalabi

Kopelman

Karni

et al. 2018

Journal of Surgical Case Reports

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There is ongoing challenges regarding the safety of performing laparoscopic surgery with the presence of ventriculoperitoneal (VP) shunts, especially in patients treated for cancer disease. To date, only one case has been reported in the English literature. Herein, we report an additional two cases of patients with previous insertion of a VP shunt, diagnosed with colon cancer. Both our patients underwent successful laparoscopic colectomies, without clamping or removal of the VP shunt, with no reported perioperative complications or postoperative neurological deficits. Laparoscopic bowel resection for cancer, in patients with a pre-existing VP shunt, could be considered a potentially safe and feasible procedure. Furthermore, due to the increasing number of patients with VP shunts, additional case reports and investigations are warranted to further confirm safety of this procedure.

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Section: Discussionmentioning

confidence: 99%

A novel safe approach to laparoscopic colorectal cancer resection in patients with ventriculoperitoneal shunt: report of two cases and literature review

Shalabi

Kopelman

Karni

et al. 2018

Journal of Surgical Case Reports

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“…To our knowledge, seven prior studies, with detailed case information, have reported laparoscopic cholecystectomy in a total of 10 cases with CSF shunts . Table presents a list of these studies.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of laparoscopic cholecystectomy in patients with cerebrospinal fluid shunt

Yoshihara

Tomimaru

Noguchi

et al. 2017

Asian J Endoscop Surgery

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“…A clinical experience published by Uzzo et al. in the 1997 described the potential adverse effects of the laparoscopic surgery, monitoring the intracranial pressure in two children with an Arnold-Chiari malformation [5] , [6] , [7] , [8] . They underlined that the potential mechanism of increase in the intracranial pressure during laparoscopy is due to an increased outflow resistance (the cerebrospinal fluid is secreted at 1–2 ml per kg-1 per min) or (though less likely) a retrograde flow.…”

Section: Discussionmentioning

confidence: 99%

Ventriculoperitoneal shunt and the need to remove a gallbladder: Time to definitely overcome the feeling that laparoscopic surgery is contraindicated

Cobianchi

Dominioni

Filisetti

et al. 2014

Annals of Medicine &Amp; Surgery

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Since Baskin et al. reported the first documented case of failure of a laparoscopically-induced ventriculoperitoneal shunt (VP) in 1998, the cerebrospinal fluid shunt has been generally considered a relative contraindication to laparoscopy. Although the literature is limited there is a small body of evidence indicating that it is safe to perform laparoscopic surgery on these patients with routine anaesthetic monitoring.In this study we report the case of a laparoscopic cholecystectomy in the presence of a ventriculoperitoneal shunt. A review of the literature suggests that laparoscopic cholecystectomy can be safely performed in patients with a ventriculoperitoneal shunt. The only related contraindication should be if a catheter has recently been placed.

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Laparoscopic Cholecystectomy in the Presence of a Lumboperitoneal Shunt

Cited by 15 publications

References 9 publications

A novel safe approach to laparoscopic colorectal cancer resection in patients with ventriculoperitoneal shunt: report of two cases and literature review

A novel safe approach to laparoscopic colorectal cancer resection in patients with ventriculoperitoneal shunt: report of two cases and literature review

Feasibility of laparoscopic cholecystectomy in patients with cerebrospinal fluid shunt

Ventriculoperitoneal shunt and the need to remove a gallbladder: Time to definitely overcome the feeling that laparoscopic surgery is contraindicated

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