Laparoscopic Cholecystectomy for a Patient with a Lumboperitoneal Shunt: A Rare Case

A rare factor that can complicate the perioperative course of laparoscopic cholecystectomy is previous placement of a lumboperitoneal (LP) shunt. Thus far, only two articles describing this situation have been published. Here, we report on a 41-year-old female patient with gallstone disease and a LP...

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Veröffentlicht in:Chirurgia (Bucharest, Romania : 1990) Romania : 1990), 2016-05, Vol.111 (3), p.263-265
Hauptverfasser: Rumba, Roberts, Vanags, Andrejs, Strumfa, Ilze, Pupkevics, Andrejs, Pavars, Maris
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container_issue 3
container_start_page 263
container_title Chirurgia (Bucharest, Romania : 1990)
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creator Rumba, Roberts
Vanags, Andrejs
Strumfa, Ilze
Pupkevics, Andrejs
Pavars, Maris
description A rare factor that can complicate the perioperative course of laparoscopic cholecystectomy is previous placement of a lumboperitoneal (LP) shunt. Thus far, only two articles describing this situation have been published. Here, we report on a 41-year-old female patient with gallstone disease and a LP shunt placement in the preceding year due to idiopathic intracranial hypertension. It is a syndrome of increased intracranial pressure without any known cause that mainly affects young obese women. The patient was operated upon using standard port placement and peritoneal insufflation. The postoperative period was uneventful and the patient was discharged shortly after the procedure. Due to the increasing incidence and prevalence of obesity, the number of general surgical patients with a LP shunt will likely increase. Based on our experience and evidence in the literature, we conclude that performing a laparoscopy for a patient with a LP shunt is safe.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Body Mass Index
Cholecystectomy, Laparoscopic
Female
Gallstones - complications
Gallstones - diagnosis
Gallstones - surgery
Humans
Lumbosacral Region
Obesity - complications
Pneumoperitoneum, Artificial
Pseudotumor Cerebri - complications
Pseudotumor Cerebri - diagnosis
Pseudotumor Cerebri - surgery
Risk Factors
Treatment Outcome
Ventriculoperitoneal Shunt - methods
title Laparoscopic Cholecystectomy for a Patient with a Lumboperitoneal Shunt: A Rare Case
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