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Updated: Aug 26, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
14:59

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

Ventriculopleural shunt: thoracoscopic placement of the distal catheter

S Kurschel1, H G Eder, J Schleef

  • 1Department of Neurosurgery, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria. senta.kurschel@klinikum-graz.at

Surgical Endoscopy
|February 13, 2004
PubMed

Insights

Ventriculopleural shunting, often a last resort, can be safely performed using thoracoscopic assistance. This minimally invasive technique ensures precise catheter placement and confirms function, even after multiple prior pleural procedures.

Area of Science:

  • Neurosurgery
  • Thoracic Surgery
  • Pediatric Surgery

Background:

  • Ventriculopleural shunting is typically reserved for complex hydrocephalus cases with limited revision options.
  • Posthemorrhagic hydrocephalus often necessitates multiple shunt interventions, increasing complication risks.

Observation:

  • A 16-year-old male with posthemorrhagic hydrocephalus experienced shunt malfunction due to distal catheter migration after two previous pleural procedures.
  • A novel technique utilizing direct thoracoscopic vision and a peel-off needle was employed for distal catheter placement into an unscarred thoracic cavity.

Findings:

  • Thoracoscopic assistance facilitated precise positioning of the pleural catheter under direct visual control.
  • The minimally invasive approach resulted in an uneventful postoperative course.
  • This technique confirmed appropriate shunt function post-procedure.

Implications:

  • Thoracoscopic assistance offers a safe and effective alternative to open procedures for ventriculopleural shunt placement.
  • The technique minimizes invasiveness and enhances accuracy in complex cases.
  • This approach may improve outcomes for patients requiring repeat shunt surgeries.

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