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Updated: Apr 24, 2026
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Two-port laparoscopic management of a giant pseudocyst complicating ventriculoperitoneal shunt
Sandesh V Parelkar1, Beejal V Sanghvi1, Devdas S Samala1
1Department of Pediatric Surgery, King Edward Memorial Hospital, Parel, Mumbai, Maharashtra, India.
Insights
Ventriculo-peritoneal shunt malfunction in children can cause cerebrospinal fluid (CSF) pseudocysts. A minimally invasive laparoscopic approach effectively treated a CSF pseudocyst, avoiding open surgery and promoting faster recovery.
Area of Science:
- Pediatric Surgery
- Neurosurgery
- Minimally Invasive Procedures
Background:
- Hydrocephalus in children is commonly treated with ventriculo-peritoneal (VP) shunts.
- Shunt malfunction is a significant complication, with cerebrospinal fluid (CSF) pseudocysts being a relatively uncommon cause.
- Traditional treatment for CSF pseudocysts often involves laparotomy, which can necessitate multiple procedures and lead to significant morbidity.
Observation:
- A pediatric patient presented with a cerebrospinal fluid (CSF) pseudocyst, a complication of VP shunt placement.
- The pseudocyst required intervention due to shunt malfunction.
- Previous management options included open laparotomy.
Findings:
- A novel two-port laparoscopic technique was employed to manage the CSF pseudocyst.
- The procedure involved deroofing the pseudocyst and repositioning the VP shunt.
- This minimally invasive approach successfully addressed the complication.
Implications:
- Laparoscopic deroofing and shunt repositioning offers a less invasive alternative to laparotomy for treating CSF pseudocysts.
- This technique potentially reduces patient morbidity and facilitates earlier recovery.
- The findings suggest a valuable minimally invasive option for managing VP shunt complications in pediatric patients.
Abstract:
Insertion of a ventriculo-peritoneal (VP) shunt is the most common operative procedure for the treatment of hydrocephalus in children. Of the several causes of shunt malfunction, cerebrospinal fluid (CSF) pseudocyst is relatively uncommon. There are several modalities to treat a CSF pseudocyst. Laparotomy is required, at times, more than once. We managed a patient of CSF pseudocyst with two-port laparoscopy, by deroofing the psuedocyst and repositioning of the shunt. This minimally invasive technique avoids morbidity associated with laparotomy and aids in early recovery.
