Clinical Analysis Of Laparoscopic Combined With Intraperitoneal Puncture Of Intraventricular-peritoneal Shunt In The Treatment Of Hydrocephalus

Objective:To investigate the clinical efficacy of laparoscopic modified shunt peritoneal end placement in ventriculo-peritoneal shunt for hydrocephalus.Methods:The clinical data of 56 patients with hydrocephalus treated at the Department of Neurosurgery,Affiliated Hospital of Guilin Medical College,were retrospectively analyzed.According to the surgical method,24 cases were treated with modified laparoscopy combined with intraperitoneal puncture needle in ventriculo-peritoneal shunt(modified group).In the conventional surgery group(traditional group),32 cases were compared with the clinical efficacy and postoperative complications of the 2 groups.Results:Two groups of patients were followed up at 3 months,1 year,and 3 years.The improvement rates of the improved group and the traditional group were 100%,91.7%,91.7% in the improvement group,and 96.7%,84.4%,62.5% in the traditional group,respectively,at only three years of follow-up,the difference was statistically significant(P<0.05);the reasons for the impact of efficiency included postoperative shunt occlusion and infection,and we also conducted statistical data on the rate of blockage 3 times.The results were 0,8.33%,and 8.33% in the modified group,and 9.38%,12.50%,and 34.38% in the traditional group.The difference was statistically significant only at the three-year follow-up(P<0.05);the postoperative infection rate improvement group was 0,4.17%,8.33%,the traditional group was 6.25%,25.00%,37.5%(12/32),the difference was only statistically significant at the three-year follow-up(P<0.05).In addition,we also had surgery time and abdomen.The length of the surgical incision was compared.The operative time was(20±3)min in the modified group and(60±15)min in the traditional group.The difference was significant(t=14.7,P<0.001).The incision length of the abdominal incision was compared(application Laparoscopic calculation of incision length and),in the modified group(2.0 ± 0.5)cm,the traditional group(4 ± 1)cm.Conclusion: The laparoscopic modified shunt peritoneal end position in the ventriculoperitoneal shunt for the treatment of hydrocephalus long-term results have fewer postoperative complications,easy to accept postoperative patients,trauma,and the application of improved laparoscopic objective advantages.