Related Experiment Video
Updated: Jun 16, 2026
14:59
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
The Lumboperitoneal Shunt Study: A Systematic Review and Single-Arm Meta-Analysis of 2696 Patients
Leonardo B O Brenner1, Sílvio Porto Junior2, João Marcelo Baptista3
1Department of Medicine, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil.
Neurosurgery
|June 15, 2026
Summary
Lumboperitoneal shunts (LPS) show safety for hydrocephalus treatment, with acceptable revision rates comparable to ventriculoperitoneal shunts. Further trials are needed to optimize their use in neurosurgical practices.
Area of Science:
- Neurosurgery
- Medical Devices
- Clinical Outcomes
Background:
- Lumboperitoneal shunt (LPS) is often a secondary treatment for hydrocephalus.
- Limited comprehensive evidence exists on the isolated outcomes of LPS.
Purpose of the Study:
- To systematically evaluate the isolated outcomes of lumboperitoneal shunts (LPS).
- To assess revision rates and complications associated with LPS across various hydrocephalus types.
Main Methods:
- Systematic literature search of Embase, PubMed, and Web of Science databases.
- Random effects meta-analysis of outcomes from 49 studies involving 2696 patients.
- Subanalyses conducted for normal pressure hydrocephalus, communicating hydrocephalus, and idiopathic intracranial hypertension.
Main Results:
- Overall shunt revision risk was 25%, with specific rates for communicating hydrocephalus (21%), idiopathic intracranial hypertension (46%), and normal pressure hydrocephalus (10%).
- Common revision reasons included obstruction (30%) and shunt mechanical failure (20%).
- Complications like headaches, overdrainage, and tonsillar herniations showed minimal overall risk but considerable heterogeneity; infections occurred at a 1% risk.
Conclusions:
- Lumboperitoneal shunts (LPS) demonstrate safety with acceptable revision and complication rates compared to ventriculoperitoneal shunts.
- Substantial heterogeneity in results limits definitive conclusions.
- Integration of LPS into neurosurgical practices in Western countries is advocated, with a need for further clinical trials.
