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Updated: Sep 20, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Anesthetic management of laparoscopic surgery in a patient with a ventriculoperitoneal shunt
Ying-Ming Wang1, Yen-Chin Liu, Xuan-De Ye
1Department of Anesthesiology, Kaohsiung Veterans General Hospital, No. 386, Ta-Chung 1st Rd, Kaohsiung 813, Taiwan, R.O.C.
Abstract:
With advanced knowledge of management of hydrocephalus, patients with ventriculoperitoneal shunts are expected to enjoy a longer lifetime. Developments in both instrumentations and surgical techniques have led to increasing popularity of laparoscopic surgery in many surgical subspecialties. Therefore, it is not a surprising event that a patient with a ventriculoperitoneal shunt is scheduled for a laparoscopic surgery under anesthesia. Until now, there is no uniformized protocol for anesthetic management of a patient with a ventriculoperitoneal shunt undergoing laparoscopic surgery. Increased intracranial pressure may occur intraoperatively and be a major concern. We report here our experience in anesthetic management of such a patient and discuss the anesthetic considerations and the potential complications.
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