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Updated: Feb 14, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
[Laparoscopic cholecystectomy in a patient with ventriculoperitoneal shunt system]
Wilver Ernesto Herrera García1, Jesús Pérez Vertí Ramírez1, Ismael Lares-Asseff2
1Servicio de Cirugía Pediátrica, Hospital General de Ensenada, Ensenada, Baja California, México.
Insights
Pediatric laparoscopic surgery is safe for children with ventriculoperitoneal (VP) shunts. This approach offers benefits for conditions like gallbladder issues, ensuring good patient outcomes.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Neurosurgery
Background:
Pediatric patients with hydrocephalus and ventriculoperitoneal (VP) shunt systems are not exempt from suffering from gastrointestinal diseases. Today, with technological advances it would be controversial to not offer the benefits of minimally invasive surgery. To date, no studies have been carried out comparing different techniques to assess the best way to prevent intracranial hypertension. However, there are increasing reports of safe surgery in children with VP shunt operated by laparoscopy.
Case Report:
We present the case of a 14-year-old male who presented for laparoscopic cholecystectomy with a VP shunt system. The patient had clinical data of cholecystitis; therefore, it was decided to perform laparoscopic cholecystectomy. The patient experienced a satisfactory evolution with hospital discharge at 72h postoperatively.
Conclusions:
Currently, it is common that children with hydrocephalus and VP systems may require some type of laparoscopic surgery. This surgery is safe for various procedures including gallbladder and ovarian pathology. Satisfactory results will help the surgeon make a better surgical decision in this type of pediatric patient.
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