[Combined application of neuroendoscope and laparoscope in ventriculo-peritoneal shunt for treatment of communicating XXXX ].

@entity1 @entity551 @entity1276
OBJECTIVE: To summarize the clinical efficacy of ventriculo-peritoneal shunt (VPS) assisted by neuroendoscopy and laparoscopy for treatment of communicating @entity1276 . METHODS: From January 2010 to January 2014, 209 cases (male 93, female 116) who suffered communicating @entity1276 performed VPS with neuroendoscopy and laparoscopy in Department of Neurosurgery of @entity1 's Liberation Army General Hospital. The age of the @entity1 were from 7 months to 79 years (mean 38.1 years), average duration were 20 days to 4 years (mean (2.4    0.7) months). Neuroendoscopy and laparoscopy were used to help respectively to place shunt catheter to better position, both in the ventricle and peritoneal cavity. The effect of subsequent shunt system survival was analyzed with Kaplan-Meier survival analysis. RESULTS: There were 209 @entity1 received 255 times of VPS. All operations were successfully completed. No craniotomy or open operation were needed for technical-related complications. Forty-six revisions were performed in all @entity1 . After the operation, 203 @entity1 with @entity1276 improved at different level after surgery. Thirteen cases occurred @entity551 and improved after the pressure adjusted. All @entity1 were followed up for 1 month to 4 years, with a median follow-up time of 2.1 years, while the shunt system efficiencies were 91.0%, 86.7%, 83.9% and 82.0% respectively from the end of the 1st year to the end of the 4th year. CONCLUSIONS: For VPS, neuroendoscopy and laparoscopy can respectively help to place shunt catheter to better position, both in the ventricle and peritoneal cavity. Hence, the combination of these two modalities can reduce the failure rate of shunt catheter insertion and has significant impact on shunt system survival.
