Laparoscopic Versus Open Approach for Implantation of the Peritoneal Catheter during Ventriculoperitoneal Shunt Placement

Background: Ventriculoperitoneal shunt (VPS) is the mainstay of therapy for hydrocephalus. The aim of this study is to compare the outcomes of laparoscopic (LVPS) versus open (OVPS) ventriculoperitoneal shunts.
Methods: All patients undergoing VPS at a tertiary care center between January 2004 and September 2007 were included. Univariate analysis was used for clinical characteristics. Wilcoxon Rank Sum, Kruskal Wallis and Chi-Square tests of proportions were used to make comparisons between LVPS and OVPS groups and subgroups. All data is presented as mean ± SEM.
Results: 562 consecutive patients underwent 616 VPS (259 LVPS, 333 OVPS, 24 other). Mean age (52±1.0 yrs) and ASA (3) were similar in LVPS & OVPS groups. BMI (28.9±0.5kg/m2 vs 27.1±0.42kg/m2, p=0.004), EBL (24.4±1.66ml vs 37.5±2.86ml, p=0.0007), and OR time (41.5±1.2min vs 56.9±1.4min, p

Session: Podium Presentation

Program Number: S109

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