Abstract

HERRERA GARCIA, Wilver Ernesto; PEREZ VERTI RAMIREZ, Jesús  and  LARES-ASSEFF, Ismael. Laparoscopic cholecystectomy in a patient with ventriculoperitoneal shunt system. Bol. Med. Hosp. Infant. Mex. [online]. 2014, vol.71, n.5, pp.303-306. ISSN 1665-1146.

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 72 h 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.

Keywords : Ventriculoperitoneal shunt valve; Ventriculoperitoneal shunt system; Hydrocephalus; Laparoscopic cholecystectomy.

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