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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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Journal of Mind and Medical Sciences |
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| Online Access: | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1372&context=jmms |
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| author | Carmen Popa Andrei Moisin Mihai Faur Mihaela Racheriu Ramona Coca Cristian Mihai Branescu Tiberiu Trotea Denisa Tănăsescu |
| author_facet | Carmen Popa Andrei Moisin Mihai Faur Mihaela Racheriu Ramona Coca Cristian Mihai Branescu Tiberiu Trotea Denisa Tănăsescu |
| author_sort | Carmen Popa |
| collection | DOAJ |
| description | 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.
|
| format | Article |
| id | doaj-art-8e7a64e7b1864f3ca463f2b21f84e164 |
| institution | OA Journals |
| issn | 2392-7674 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Mind and Medical Sciences |
| spelling | doaj-art-8e7a64e7b1864f3ca463f2b21f84e1642025-08-20T01:55:37ZengMDPI AGJournal of Mind and Medical Sciences2392-76742023-04-0110116317110.22543/2392-7674.1372Tips and tricks for laparoscopic cholecystectomy in the patient with ventriculoperitoneal shunt; a case reportCarmen Popa0Andrei Moisin1Mihai Faur2Mihaela Racheriu3Ramona Coca4Cristian Mihai Branescu5Tiberiu Trotea6Denisa Tănăsescu7Department of Radiology and Medical Imaging, Sibiu County Emergency Clinical Hospital, Sibiu, RomaniaDepartment of Surgery, Sibiu County Emergency Clinical Hospital, Sibiu, RomaniaDepartment of Surgery, Sibiu County Emergency Clinical Hospital, Sibiu, RomaniaDepartment of Radiology and Medical Imaging, Sibiu County Emergency Clinical Hospital, Sibiu, RomaniaDepartment of Clinical Medicine, Lucian Blaga University of Sibiu, Sibiu, RomaniaDepartment of Surgery, Emergency University Hospital Bucharest, Bucharest, RomaniaDepartment of Surgery, Emergency University Hospital Bucharest, Bucharest, RomaniaDepartment of Dental Medicine and Nursing, Lucian Blaga University of Sibiu, Sibiu, RomaniaLaparoscopic 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. https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1372&context=jmmsventriculo-peritoneal shuntlaparoscopic cholecystectomycomplications |
| spellingShingle | Carmen Popa Andrei Moisin Mihai Faur Mihaela Racheriu Ramona Coca Cristian Mihai Branescu Tiberiu Trotea Denisa Tănăsescu Tips and tricks for laparoscopic cholecystectomy in the patient with ventriculoperitoneal shunt; a case report Journal of Mind and Medical Sciences ventriculo-peritoneal shunt laparoscopic cholecystectomy complications |
| title | Tips and tricks for laparoscopic cholecystectomy in the patient with ventriculoperitoneal shunt; a case report |
| title_full | Tips and tricks for laparoscopic cholecystectomy in the patient with ventriculoperitoneal shunt; a case report |
| title_fullStr | Tips and tricks for laparoscopic cholecystectomy in the patient with ventriculoperitoneal shunt; a case report |
| title_full_unstemmed | Tips and tricks for laparoscopic cholecystectomy in the patient with ventriculoperitoneal shunt; a case report |
| title_short | Tips and tricks for laparoscopic cholecystectomy in the patient with ventriculoperitoneal shunt; a case report |
| title_sort | tips and tricks for laparoscopic cholecystectomy in the patient with ventriculoperitoneal shunt a case report |
| topic | ventriculo-peritoneal shunt laparoscopic cholecystectomy complications |
| url | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1372&context=jmms |
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