Laparoscopy-assisted placement of a ventriculobiliary shunt: a technical note

Pancucci, Giovanni; Plaza-Ramirez, Estela; Driller, C; Miranda-Lloret, Pablo; Botella-Asunción, Carlos

doi:10.1007/s00381-019-04173-5

Cited by 11 publications

(10 citation statements)

References 14 publications

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“…In previous studies, VGS has always been considered for cases in which VPS or Ventriculo arterial shunt (VAS) are no longer feasible as a second or third-line salvage treatment [2,11,16,17,25].…”

Section: Discussionmentioning

confidence: 99%

“…Aldana et al [2] reported a case of an infant with no previous shunt but with multiple prior abdominal surgeries. Pancucci et al [17] recorded a case of a 4-month infant presented with obstructive hydrocephalus caused by optic-chiasmal hypothalamic glioma. They stated that a high protein CSF rate predict VPS failure since it may be responsible for ascites and non-resorptive peritoneum.…”

Section: Discussionmentioning

confidence: 99%

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Can we consider ventriculo-gallbladder shunt a first-line treatment in selected patients? Case report of a successful management

et al. 2023

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Ventriculo-gallbladder shunt (VGS) has been recognized as a last-resort alternative to treat hydrocephalus when the peritoneum and/or other distal sites can no longer receive shunts. In some speci c conditions, it may be conceded as a rst-line treatment. Case presentation:We report the case of a 6-month-old girl with progressive post-hemorrhagic hydrocephalus and who presented a concomitant chronic abdominal symptom. Speci c investigations ruled out acute infection and led to the diagnosis of chronic appendicitis. Both problems were managed in a one-stage salvage procedure consisting of laparotomy sanctioning to treat the abdominal pathology and seize the opportunity to perform a VGS as a rst option since the abdomen is prone to ventriculoperitoneal shunt (VPS) failure. Conclusion:Only few cases have reported the use of VGS as the rst option to handle uncommon complex cases due to abdominal or Cerebro-Spinal Fluid (CSF) conditions. We wish to draw attention to VGS as an effective procedure not only in children with multiple shunt failures but also as rst-line management in some selected cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Can we consider ventriculo-gallbladder shunt a first-line treatment in selected patients? Case report of a successful management

et al. 2023

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“…However, after that, the discussion started about where the distal catheter tips would end. Peritoneum, right cardiac atrium, cisternal space (Torkildsen shunt), pleural space, gall bladder, and ureter-bladder are the options for the distal catheter tips ending [9][10][11][12]. The initial valve-regulated silicone shunts were designed as VAS.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous ventriculoatrial shunting as a salvage method in the pediatric hydrocephalus patients with peritoneal problems

Oktay

Sozutok

Pehlivan

et al. 2022

Preprint

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Purpose Ventriculoperitoneal shunt is preferred and widely applied method in patients who require shunt procedures. However in cases with abdominal complications, another body compartment should be used for the distal catheters and ventriculoatrial shunt is the preferred second-line treatment method. The purpose of this study is to evaluate the efficacy of percutaneous ventriculoatrial shunting as a salvage method in the pediatric patients with abdominal complications. Methods Data obtained from 9 patients with ventriculoperitoneal shunt dysfunctions due to abdominal complications, who underwent ventriculoatrial shunting as a salvage treatment at a single institution between January 2019 and September 2021 were retrospectively reviewed. All of the operations were performed under the guidance of intraoperative fluoroscopy and ultrasound. Results The mean age of the patients was 8.1 ± 1.2 years (2-15 years). Six patients (67%) were male and 3 patients (33%) were female. The mean number of the patients’ ventriculoperitoneal shunt revisions until atrial catheter placement was 7.5 times. Reasons for intraperitoneal catheter failure were; peritoneal adhesions in 4 patients (44.5%), pseudocyst formation in 3 patients (33.3%), and peritonitis in 2 patients (22.2%). Seven patients of the study cohort had no problem after ventriculoatrial shunt placement. Only 1 patient had shunt dysfunction related to ventricular catheter, and ventricular catheter and shunt valve revision was performed 26 months after ventriculoatrial shunt placement. Atrial catheter of the patient was intact. One patient died because of the progression of her primary disease (medulloblastoma in the 4th ventricle), not related to her ventriculoatrial shunt. Conclusion Percutaneous ventriculoatrial shunting under the guidance of intraoperative fluoroscopy and ultrasound provides a safe, effective and easy alternative in the patients with peritoneal complications and multiple operations history.

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“…Percutaneous insertion of a VCS was also reported in a 9-month-old with hydrocephalus due to a grade 4 intraventricular hemorrhage [60]. Furthermore, Pancucci et al were the first to describe the successful positioning of a VCS with the assistance of laparoscopic surgery in a 4month-old patient with hydrocephalus secondary to an optic chiasmal hypothalamic glioma [49]. Ignacio et al also used this approach in a 20-month-old patient with increased CSF levels due to a grade 3 ventricular hemorrhage [28].…”

Section: Technique and Perioperative Aspectsmentioning

confidence: 99%

“…One remained in place and had a longstanding functional VCS at 4 years of follow-up [47]. In addition, Pancucci et al performed a laparoscopic VCS as the first line of treatment in a patient with OCHA and his results were promising, as no complication was demonstrated at 14 months of follow-up [49]. Alraee et al also described a laparoscopic approach to place a VCS in a patient with an extensive optic glioma, which eventually developed gallbladder stones [4].…”

Section: Vcs In Pediatric Hydrocephalusmentioning

confidence: 99%

Evaluation of the ventriculocholecystic shunt—an overview of present practice in adult and pediatric hydrocephalus

2021

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In the context of hydrocephalus, there are a multitude of therapeutic options that can be explored in order to improve patient outcomes. Although the peritoneum is the current elected clinical solution, various receptacles have been utilized when experiencing contraindications. Along with the ventriculoatrial or ventriculopleural, the ventriculocholecystic shunt was also described as an alternative. In order to make a decision on a place for drainage, the surgeon must be knowledgeable on details from modern literature. The main target of this review was to summarize the currently available information on this topic and assess the status of the gallbladder as a viable option for cerebrospinal fluid diversion.

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Laparoscopy-assisted placement of a ventriculobiliary shunt: a technical note

Cited by 11 publications

References 14 publications

Can we consider ventriculo-gallbladder shunt a first-line treatment in selected patients? Case report of a successful management

Can we consider ventriculo-gallbladder shunt a first-line treatment in selected patients? Case report of a successful management

Percutaneous ventriculoatrial shunting as a salvage method in the pediatric hydrocephalus patients with peritoneal problems

Evaluation of the ventriculocholecystic shunt—an overview of present practice in adult and pediatric hydrocephalus

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