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Updated: Aug 19, 2026
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
[One-stage operation of ventriculo-peritoneal shunt and cranioplasty: analysis of 54 cases]
Qing Zhou1, Shi-Zhong Zhang, Ru-Xiang Xu
1Department of Neurosurgery, 309 Hospital of PLA, Beijing 100091, China. davidzhou2360@hotmail.com
Insights
One-stage ventriculo-peritoneal shunt and cranioplasty effectively treats hydrocephalus with skull defects, reducing hospital stay and costs. Careful shunt selection based on preoperative intracranial pressure is crucial for optimal outcomes.
Area of Science:
- Neurosurgery
- Medical Engineering
Context:
- Hydrocephalus often coexists with skull defects, necessitating complex surgical management.
- Traditional two-stage surgical approaches involve separate shunt placement and cranioplasty.
Purpose:
- To evaluate the efficacy and outcomes of a one-stage surgical procedure combining ventriculo-peritoneal shunt and cranioplasty for hydrocephalus with skull defects.
- To compare the one-stage approach with traditional two-stage operations.
Summary:
- A retrospective review compared 54 patients undergoing a one-stage operation with 30 patients who had two-stage procedures.
- Clinical outcomes were comparable, though two one-stage patients required shunt revision due to elevated intracranial pressure.
- The one-stage approach significantly reduced hospital stay and patient expenses.
Impact:
- The one-stage operation offers a potentially more efficient and cost-effective treatment for hydrocephalus with skull defects.
- Highlights the importance of preoperative intracranial pressure assessment for appropriate shunt selection in one-stage procedures.
Objective:
To study the application of one-stage operation of ventriculo-peritoneal shunt and cranioplasty for hydrocephalus complicated by skull defect.
Method:
The clinical records of 54 patients with hydrocephalus complicated by skull defect treated with one-stage operation of ventriculo-peritoneal shunt and cranioplasty were reviewed in comparison with those of 30 patients receiving two-stage operations.
Result:
The clinical outcome of the patients receiving the two surgical procedures did not differ significantly, but two patients undergoing one-stage operation required replacement of the shunt pump due to elevation of intracranial pressure. Implementation of one-stage operations shortened the length of hospital stay and reduced the expense of patients.
Conclusion:
Hydrocephalus in combination with skull defect can be treated generally with one-stage operations and care must be taken in choosing adequate shunt tube according to the intracranial pressure measured preoperatively.
