Tips and tricks for laparoscopic cholecystectomy in the patient with ventriculoperitoneal shunt; a case report
Laparoscopic surgery in patients with ventriculo-peritoneal shunt is challenging in terms of technical approach. The severity of possible complications and the lack of studies on this association increase the surgeon's discomfort with such surgery. The main complications that may occur are...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-04-01
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| Series: | Journal of Mind and Medical Sciences |
| Subjects: | |
| Online Access: | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1372&context=jmms |
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| Summary: | Laparoscopic surgery in patients with ventriculo-peritoneal shunt is
challenging in terms of technical approach. The severity of possible
complications and the lack of studies on this association increase the
surgeon's discomfort with such surgery. The main complications that may
occur are increased intracranial pressure, secondary pneumo-peritoneum
pneumocephalus, encephalitis and the risk of catheter injury during
laparoscopic procedures. We present the case of a 56-year-old patient
operated in 2004 for a basilar artery top aneurysm with subarachnoid
hemorrhage and secondary hydrocephalus, for which a ventriculo-
peritoneal shunt was fitted. This patient presented in our clinic with diffuse
abdominal pain, more accentuated in the right hypochondrium, nausea,
postprandial biliary vomiting, inappetence, asthenia, fatigability,
symptoms with onset about 6 months, but accentuated in the last 48 hours.
The patient underwent surgery and the evolution was favorable, being
discharged without postoperative complications.
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| ISSN: | 2392-7674 |