- Author:
Kihyun PARK
1
;
Taejoon PARK
;
Sangpyung LEE
;
Jinwook BAEK
;
Kyoungsoo RYOU
;
Seonghwan KIM
Author Information
- Publication Type:Case Report
- From: Journal of Neurointensive Care 2025;8(1):21-27
- CountryRepublic of Korea
- Language:English
- Abstract: Hydrocephalus, characterized by abnormal cerebrospinal fluid (CSF) accumulation, is commonly treated with ventriculoperitoneal shunting (VPS). Despite its efficacy, VPS is prone to complications, with distal catheter occlusion being a frequent cause of shunt malfunction. This study presents our experience using laparoscopy to manage distal catheter malfunctions in two VPS patients. Postoperative outcomes demonstrated symptom resolution and normalization of imaging parameters without complications. Our findings suggest that laparoscopy is a minimally invasive, effective, and cost-efficient alternative for addressing distal shunt malfunctions, complementing current neurosurgical practices. Additionally, we review the literature on the use of endoscopy and laparoscopy in VPS management and propose an applicable protocol.

