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

Autors de IIS La Fe

• Maria Estela Plaza Ramírez

  Autor

• Carsten Driller

  Autor

• Pablo Miranda Lloret

  Autor

• Carlos Botella Asuncion

  Autor

Autors aliens a IIS La Fe

• Pancucci, G

Grups d'Investigació

• Investigación Clínica y Traslacional en Cáncer

  

  Leader

  José Gómez Codina

Abstract

Purpose Hydrocephalus is a common condition in pediatric neurosurgeon's clinical practice. Peritoneal and atrial shunting is the treatment of choice in the immense majority of patients. Sometimes, there are complex cases that may need innovative solutions in order to implant the distal catheter of the shunt: in these situations, the gallbladder is a well-described option and it can be safely used. Methods We report the case of a 4-month-old baby with a wide optic-chiasmal hypothalamic glioma generating hydrocephalus with high protein values in CSF. Ventriculobiliary shunting was decided, and the distal catheter was directed by the assistance of laparoscopic surgery. Results The outcome was satisfactory. Conclusions As far as we know, laparoscopic placement of a distal catheter in the gallbladder has not been described in the literature; herein, we describe the tenets and the technical tips of this approach.

Keywords

• Hydrocephalus; Shunt; Ventriculobiliary