Related Experiment Video
Updated: May 4, 2026
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Laparoscopy for a ventriculoperitoneal shunt tube dislocated into the colon
Jurgen Knuth1, Michael Detzner2, Markus M Heiss3
1Department of Abdominal, Vascular and Transplant Surgery, University of Witten/Herdecke, Cologne-Merheim Medical Center, Cologne, Germany; Department of General, Visceral, Vascular and Thoracic Surgery, Clinic of Kempten, Kempten, Germany; Klinik für Viszeral-, Gefäß- und Transplantationschirurgie, Kliniken der Stadt Köln, Krankenhaus Merheim, 51058 Köln, Germany. jurgen.knuth@gmx.net.
Introduction:
Implantation of a ventriculoperitoneal (VP) shunt is a standard procedure for hydrocephalus. Different complications can occur, one of them being migration of the distal end of the tube.
Case Description:
The abdominal end of a VP shunt tube had migrated into the descending colon. In a laparoscopic procedure, the shunt was retrieved, and the colonic perforation site was resected. The patient had a favorable outcome.
Discussion:
Laparoscopy can play a key role and is recommended not only to make an exact diagnosis, but also for definite, safe, and trauma-minimizing treatment of intraabdominal VP shunt dysfunction.
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