Laparoscopic Resection of Advanced Colorectal Cancer in a Patient with Lumboperitoneal Shunt
A 78-year-old woman with lumboperitoneal (LP) shunt was diagnosed with advanced cancer of the ascending colon. Laparoscopic right hemicolectomy was performed without manipulating the catheter. The patient’s postoperative course was uneventful, with no shunt-related complications or neurological defi...
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| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/6826079 |
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| author | Toru Imagami Satoru Takayama Yohei Maeda Ryohei Matsui Masaki Sakamoto Hisanori Kani |
| author_facet | Toru Imagami Satoru Takayama Yohei Maeda Ryohei Matsui Masaki Sakamoto Hisanori Kani |
| author_sort | Toru Imagami |
| collection | DOAJ |
| description | A 78-year-old woman with lumboperitoneal (LP) shunt was diagnosed with advanced cancer of the ascending colon. Laparoscopic right hemicolectomy was performed without manipulating the catheter. The patient’s postoperative course was uneventful, with no shunt-related complications or neurological deficit. The number of patients with cerebrospinal fluid (CSF) shunt who require abdominal surgery has been increasing. There are only few studies on laparoscopic surgery for patients with LP shunt, and the safety of pneumoperitoneum in the CSF shunt remains controversial. Consistent with other studies, we considered that pneumoperitoneum with a pressure of 10 mmHg has few negative effects. Our recommendations are as follows: (1) during colorectal resection, laparoscopic surgery can be performed without routine manipulation of the shunt catheter; (2) altering the location of the port is necessary to prevent both damage to the shunt tube during surgery and wound infection postoperatively; and (3) laparoscopic surgery is superior to laparotomy because it is associated with reduced surgical site infections and postoperative adhesions. However, laparoscopy should be performed at least 3 months after the construction of CSF shunt. |
| format | Article |
| id | doaj-art-785fbab729554cdfb17ad577f6d92e0d |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-785fbab729554cdfb17ad577f6d92e0d2025-02-03T07:24:22ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/68260796826079Laparoscopic Resection of Advanced Colorectal Cancer in a Patient with Lumboperitoneal ShuntToru Imagami0Satoru Takayama1Yohei Maeda2Ryohei Matsui3Masaki Sakamoto4Hisanori Kani5Department of Surgery, Nagoya Tokushukai General Hospital, 2-52 Kouzouji-cho kita, Kasugai-City, Aichi 487-0016, JapanDepartment of Surgery, Nagoya Tokushukai General Hospital, 2-52 Kouzouji-cho kita, Kasugai-City, Aichi 487-0016, JapanDepartment of Surgery, Nagoya Tokushukai General Hospital, 2-52 Kouzouji-cho kita, Kasugai-City, Aichi 487-0016, JapanDepartment of Surgery, Nagoya Tokushukai General Hospital, 2-52 Kouzouji-cho kita, Kasugai-City, Aichi 487-0016, JapanDepartment of Surgery, Nagoya Tokushukai General Hospital, 2-52 Kouzouji-cho kita, Kasugai-City, Aichi 487-0016, JapanDepartment of Surgery, Nagoya Tokushukai General Hospital, 2-52 Kouzouji-cho kita, Kasugai-City, Aichi 487-0016, JapanA 78-year-old woman with lumboperitoneal (LP) shunt was diagnosed with advanced cancer of the ascending colon. Laparoscopic right hemicolectomy was performed without manipulating the catheter. The patient’s postoperative course was uneventful, with no shunt-related complications or neurological deficit. The number of patients with cerebrospinal fluid (CSF) shunt who require abdominal surgery has been increasing. There are only few studies on laparoscopic surgery for patients with LP shunt, and the safety of pneumoperitoneum in the CSF shunt remains controversial. Consistent with other studies, we considered that pneumoperitoneum with a pressure of 10 mmHg has few negative effects. Our recommendations are as follows: (1) during colorectal resection, laparoscopic surgery can be performed without routine manipulation of the shunt catheter; (2) altering the location of the port is necessary to prevent both damage to the shunt tube during surgery and wound infection postoperatively; and (3) laparoscopic surgery is superior to laparotomy because it is associated with reduced surgical site infections and postoperative adhesions. However, laparoscopy should be performed at least 3 months after the construction of CSF shunt.http://dx.doi.org/10.1155/2018/6826079 |
| spellingShingle | Toru Imagami Satoru Takayama Yohei Maeda Ryohei Matsui Masaki Sakamoto Hisanori Kani Laparoscopic Resection of Advanced Colorectal Cancer in a Patient with Lumboperitoneal Shunt Case Reports in Surgery |
| title | Laparoscopic Resection of Advanced Colorectal Cancer in a Patient with Lumboperitoneal Shunt |
| title_full | Laparoscopic Resection of Advanced Colorectal Cancer in a Patient with Lumboperitoneal Shunt |
| title_fullStr | Laparoscopic Resection of Advanced Colorectal Cancer in a Patient with Lumboperitoneal Shunt |
| title_full_unstemmed | Laparoscopic Resection of Advanced Colorectal Cancer in a Patient with Lumboperitoneal Shunt |
| title_short | Laparoscopic Resection of Advanced Colorectal Cancer in a Patient with Lumboperitoneal Shunt |
| title_sort | laparoscopic resection of advanced colorectal cancer in a patient with lumboperitoneal shunt |
| url | http://dx.doi.org/10.1155/2018/6826079 |
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