Curative effect of single port laparoscopic ventriculoperitoneal shunt with conventional instruments
ZOU Hai-bo1 FEI Fan2 LUO Lan-yun1 WANG Qi2 WANG Guan1 LAI Chun-you1 ZHANG Yu3 HUANG Xiao-lun1
1. Department of Hepatobiliary Surgery, Sichuan Academy of Medical Sciences, Sichuan Provincial People′s Hospital,Sichuan Province, Chengdu 610072, China；
2. Department of Neurosurgery, Sichuan Academy of Medical Sciences,Sichuan Provincial People′s Hospital, Sichuan Province, Chengdu 610072, China；
3. Chengdu Medical College,Sichuan Province, Chengdu 610500, China
Abstract： Objective To investigate the curative effects and applications of single port laparoscopic ventriculoperitoneal shunt with conventional instruments. Methods From July 2013 to November 2016, 138 patients of ventriculoperitoneal shunt operation in our hospital were selected as the subjects, and divided into single portlaparoscopic surgery group (66 cases)and traditional open surgery group(72 cases)according to the different types of surgery.The single port laparoscopic surgery group was assisted by conventional single port laparoscopy, while the traditional open surgery group was assisted by traditional laparotomy. The abdominal operation time, intraoperative blood loss, postoperative hospital stay, postoperative pain score, tube blockage rate, incision length and postoperative complications rate were compared. Results All the operations were successfully completed in two groups. The operative time of the single port laparoscopic group was significantly shorter than that of the traditional open surgery group, the intraoperative blood loss of the single port laparoscopic group was less than that of the traditional open surgery group, and the incision length of the single port laparoscopic group was significantly shorter than that of the traditional open surgery group, the differences were statistically significant (P＜0.05). The postoperative anal exhaust time of patients in the single port laparoscopic group was significantly shorter than that in the traditional open surgery group, and the postoperative shunt blockage rate of the single port laparoscopic group was lower than that in the traditional open surgery group, and the differences were statistically significant (P＜0.05). There was no significant difference between the two groups in terms of pain score at 6 h and 24 h after surgery, rate of use of painkillers, incision complications and hospitalization (P＞0.05).Conclusion Single port laparoscopic ventriculoperitoneal shunt with conventional instruments is safe, effective, feasible,better cosmetic, and should be promoted.
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