摘要
目的 总结腹腔镜下脑室腹腔分流术 (V P分流术 )治疗脑积水的应用体会。方法 对 2 2例脑积水患者采用腹腔镜下V P分流术 ,其中右肝膈间隙V P分流术 9例 ,盆腔V P分流术 13例 ,观察其术后并发症、颅内高压改善情况及患者的一般恢复情况。结果 所有病例手术均获成功 ,术后颅内高压症均有改善 ,未发生与腹腔镜手术相关的并发症。结论 腹腔镜下V P分流术具有创伤小、显露定位好及患者恢复快的优点 ,是一种安全可行的手术方法 ,值得推广。
Objective To summarize the experience of laparoscopic ventriculo-peritoneal shunt for treating patients with hydrocephalus. Methods Twenty-two cases with hydrocephalus were treated with laparoscopic ventriculo-peritoneal shunt.The drainage-tube was put into the right liver-diaphragm interspace in 9 patients and inserted into the pelvic kidney in the others. Postoperative complications, ameliorating conditions of intracranial hypertension and recovery conditions of these patients were observed.Results All the operations were succeeded and the patients got amelioration of intracranial hypertension.No complication correlating with laparoscopic surgery occured. Conclusion Laparoscopic ventriculo-peritoneal shunt have the advantages of less invasive,better intra-abdominal view and more rapid recovery than conventional laparotomy. It’s a safe and feasible method which is worth of wide using.
出处
《中国普外基础与临床杂志》
CAS
2004年第2期157-158,共2页
Chinese Journal of Bases and Clinics In General Surgery
