Laparoscopic-Assisted Peritoneal Access in Ventriculoperitoneal Shunt Placement: Systematic Review and Meta-Analysis

医学 剖腹手术 分流(医疗) 外科 腹腔镜检查 脑积水 荟萃分析 内科学
作者
Sunny Abdelmageed,Prottusha Sarkar,Nathan A. Shlobin,Daniel Dávila,Matthew B. Potts
出处
期刊:Neurosurgery [Oxford University Press]
标识
DOI:10.1227/neu.0000000000003213
摘要

BACKGROUND AND OBJECTIVES: The most common treatment of hydrocephalus is ventriculoperitoneal (VP) shunting. Peritoneal access is commonly conducted through an open laparotomy, but laparoscopic peritoneal access is gaining popularity. Many studies have reported the benefits of minimally invasive laparoscopic peritoneal access, but there is no consensus on its use. We conducted a systematic review and meta-analysis to compare open laparotomy vs laparoscopic peritoneal access in VP shunting. METHODS: A systematic search was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines using 3 databases. Twelve studies included only adults, 3 included only pediatric patients, and 3 included both adults and pediatric patients. RESULTS: Compared with open laparotomy, laparoscopic peritoneal access was associated with a reduction in distal shunt failure (6.1% vs 2.2%, P = .01), operative time (69.4 vs 56.3 minutes, P < .001), and length of stay (LOS) (9.6 vs 7.3 days, P < .001). There were no differences in proximal shunt failure, total shunt failure, intraoperative complications, or infection rate. In the pediatric population, laparoscopic access was associated with a reduced LOS (7.8 vs 5.9 days, P < .001). Heterogeneity was high but explained by the varying study populations and techniques. CONCLUSION: Laparoscopic peritoneal access for VP shunt insertion is associated with improved outcomes, including reduced distal shunt failure, reduced operative time, and reduced hospital LOS, when compared with open laparotomy and should be considered for shunt insertion. Additional studies are necessary to further determine the benefit of laparoscopic access, especially in the pediatric population.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
小先生完成签到 ,获得积分10
3秒前
doo关闭了doo文献求助
4秒前
科研通AI2S应助za==采纳,获得10
7秒前
科研通AI2S应助强国复兴采纳,获得10
8秒前
Dora完成签到 ,获得积分10
13秒前
14秒前
14秒前
MLS发布了新的文献求助10
15秒前
16秒前
秋初夏完成签到 ,获得积分10
17秒前
可爱的函函应助nmamtf采纳,获得10
18秒前
Wells应助科研通管家采纳,获得10
18秒前
赘婿应助科研通管家采纳,获得10
19秒前
Wells应助科研通管家采纳,获得10
19秒前
19秒前
ParkMoonJ应助科研通管家采纳,获得10
19秒前
19秒前
科研通AI2S应助ZL05采纳,获得10
19秒前
@@@发布了新的文献求助10
19秒前
20秒前
强国复兴发布了新的文献求助10
20秒前
21秒前
22秒前
丨墨月丨完成签到,获得积分10
22秒前
meng发布了新的文献求助10
23秒前
潇洒的擎苍完成签到,获得积分10
24秒前
丘比特应助OO采纳,获得30
25秒前
Dexter完成签到,获得积分10
26秒前
丨墨月丨发布了新的文献求助10
26秒前
丿小智灬完成签到,获得积分10
26秒前
英俊的铭应助Ler采纳,获得10
27秒前
Www发布了新的文献求助10
27秒前
来自三百发布了新的文献求助20
27秒前
28秒前
28秒前
迷人的爆米花应助Jackson采纳,获得10
28秒前
科研通AI2S应助sail采纳,获得10
29秒前
32秒前
夜良发布了新的文献求助10
33秒前
小白发布了新的文献求助10
33秒前
高分求助中
Sustainability in Tides Chemistry 2000
The ACS Guide to Scholarly Communication 2000
Studien zur Ideengeschichte der Gesetzgebung 1000
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
Threaded Harmony: A Sustainable Approach to Fashion 810
Pharmacogenomics: Applications to Patient Care, Third Edition 800
Ожившие листья и блуждающие цветы. Практическое руководство по содержанию богомолов [Alive leaves and wandering flowers. A practical guide for keeping praying mantises] 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3079159
求助须知:如何正确求助?哪些是违规求助? 2731733
关于积分的说明 7520409
捐赠科研通 2380586
什么是DOI,文献DOI怎么找? 1262296
科研通“疑难数据库(出版商)”最低求助积分说明 611848
版权声明 597396