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Laparoscopic cecal cancer resection in a patient with a ventriculoperitoneal shunt: A case report.

AbstractINTRODUCTION:
The presence of a ventriculoperitoneal shunt has been considered to be a contraindication for laparoscopic surgery till date; however, laparoscopic cholecystectomy was recently reported as safe for patients with this shunt.
PRESENTATION OF CASE:
We present the first case, to the best of our knowledge, of laparoscopic colectomy for cecal cancer in a patient with a ventriculoperitoneal shunt. A 59-year-old woman with a ventriculoperitoneal shunt for hydrocephalus was referred to our hospital with cecal cancer. Laparoscopic cecal cancer resection was performed successfully and uneventfully by manipulating the shunt.
DISCUSSION:
Clamping of the shunt catheter at the subcutaneous region was performed before insufflation of carbon dioxide to prevent adverse effects from the pneumoperitoneum.
CONCLUSION:
We believe that laparoscopic colectomy for colon cancer can be performed safely in patients with a ventriculoperitoneal shunt by optimal manipulation of the shunt.
AuthorsTakayuki Torigoe, Shiro Koui, Tomohito Uehara, Koichi Arase, Yoshifumi Nakayama, Koji Yamaguchi
JournalInternational journal of surgery case reports (Int J Surg Case Rep) Vol. 4 Issue 3 Pg. 330-3 ( 2013) ISSN: 2210-2612 [Print] Netherlands
PMID23416501 (Publication Type: Journal Article)
CopyrightCopyright © 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

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