Laparoscopic-assisted intraperitoneal placement of lumboperitoneal shunt in patients with idiopathic intracranial hypertension

Abstract Background Lumboperitoneal (LP) shunting is an effective treatment option aiming at cerebrospinal fluid diversion in cases of idiopathic intracranial hypertension. Confirming the distal end position, on other hand, could be technically difficult, especially obese people. With minimal invasive procedures, laparoscopic-assisted placement peritoneal side LP shunt became a valid option. In this study, we aim to evaluate operation duration, possible complications, and patient outcomes after catheter using laparoscopically assisted technique. Methods A retrospective analysis clinical, preoperative, postoperative data for 18 patients diagnosed with hypertension undergoing surgery technique intraperitoneal between 2019 2021 was performed. Results The average operating time 93.89 min, hospital stay 2.3 days. There no mortality among treated described technique, intraoperative complication occurred. Seven (38.9%) had failure, median duration failure 212 days; three slippage, two over drainage, one case adhesions around tip, Arnold Chiari malformation. Conclusions laparoscopic safe feasible. It allowed direct vision tip position within cavity which helped confirming assessing function, resulting superior classic surgical options. Short stay, pain, low rates are main advantages