Abstract
We consider the risk of impaired ventriculoperitoneal shunt (VPS) derived from increased intra-abdominal pressure and shunt infection, when we perform laparoscopic surgery to the patients who have undergone VPS previously. We performed single-incision laparoscopic cholecystectomy (SPS-LC) on 16-year-old woman with VPS. At first, we examined the subcutaneous and intra-abdominal route of the VPS tube by X-ray and clamped VPS tube with the fistula before CO2 insufflation. We released the clamp of the VPS tube and confirmed the drainage of the cerebrospinal fluid from the tip of the VPS tube, after the resection of the gall bladder and CO2 disaffiliation. She recovered without any complications such as the sign of increased intracranial pressure, shunt failure and infection after the surgery. This case illustrates that SPS-LC might be able to perform safely in patients with VPS, if we take steps adequately. We describe the clinical experience of the present case and review the relevant medical literatures.
