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Updated: Nov 1, 2025

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Effectiveness of the 'hoisting method' for shunt placement
Kenji Miki1,2, Daisuke Inoue1, Masatou Kawashima3
1Department of Neurosurgery, Kyushu Rosai Hospital, Kitakyushu, Japan.
The new Hoisting method simplifies abdominal shunt procedures, offering a safe and easy approach for ventriculoperitoneal or lumboperitoneal shunts, particularly benefiting obese patients.
Area of Science:
- Neurosurgery
- Surgical Techniques
Background:
- Abdominal shunt placement (ventriculoperitoneal or lumboperitoneal) is challenging due to deep, narrow operative views.
- Obesity further complicates these procedures, increasing surgical difficulty and risk.
Purpose of the Study:
- To introduce and evaluate the novel 'Hoisting method' for abdominal shunt procedures.
- To demonstrate the method's ability to improve ease and safety in challenging cases.
Main Methods:
- The study involved five patients undergoing abdominal shunt placement between April 2020 and March 2021.
- The 'Hoisting method' was employed to facilitate the surgical procedure.
Main Results:
- Shunt placement was successfully achieved in all five patients.
- The procedure was consistently easy and safe, with no reported complications.
Conclusions:
- The 'Hoisting method' is a highly effective technique for abdominal shunt placement.
- This method enhances surgical ease and safety without the need for specialized equipment.
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