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Updated: Jan 23, 2026

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

Published on: October 14, 2022

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Minimal exposure maximal precision ventriculoperitoneal shunt: how I do it

Luigi Rigante1, Ramon Navarro2, Florian Roser2

  • 1Department of Neurosurgery, Cleveland Clinic Abu Dhabi, Al Maryah Island, P.O. Box 112412, Abu Dhabi, United Arab Emirates. luigirigante@gmail.com.

Acta Neurochirurgica
|June 7, 2019
PubMed
Abstract

Insights

A novel neuronavigated laparoscopic-assisted minimal exposure technique for ventriculoperitoneal shunts shows promise. This approach resulted in no infections or catheter migrations in 40 adult patients over 12 months.

Area of Science:

  • Neurosurgery
  • Minimally Invasive Surgery
  • Medical Device Technology

Background:

  • Ventriculoperitoneal shunts are common neurosurgical procedures.
  • Shunt complications include infection and obstruction.
  • Infection risk is linked to skin incisions and catheter handling; obstruction to catheter position.

Purpose of the Study:

  • To present a novel neuronavigated laparoscopic-assisted minimal exposure technique for ventriculoperitoneal shunt placement.
  • To evaluate the efficacy and safety of this technique in adult patients.

Main Methods:

  • A neuronavigated laparoscopic-assisted minimal exposure shunt technique was performed on 40 consecutive adult patients.
  • Follow-up included assessment for infection, catheter migration, and malpositioning.

Main Results:

  • No patients experienced shunt infection or distal catheter migration during a mean follow-up of 12 months.
  • Two patients had ventricular catheter malpositioning attributed to neuronavigation inaccuracy in cases of slit ventricles.

Conclusions:

  • The presented technique offers a low rate of infection and malfunction.
  • Advantages include reduced postoperative pain and improved cosmetic outcomes.
  • Limitations involve the availability of trained laparoscopic surgeons and neuronavigation expertise.
Keywords:
Cerebrospinal fluidGeneral surgeryHydrocephalusInfectionLaparoscopyNeuronavigationNeurosurgery

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