Laparoscopic anterior resection for rectal cancer in a patient with a ventriculoperitoneal shunt

被引：6

作者：

Ishikawa, Takahisa ^{[1
]}

Nishikawa, Makoto ^{[1
]}

Nakamoto, Hiroki ^{[1
]}

Yokoyama, Ryoji ^{[1
]}

Taketomi, Akinobu ^{[2
]}

机构：

[1] Hokkaido PWFAC Abashiri Kosei Gen Hosp, Dept Surg, North 6,West 1-9, Abashiri, Hokkaido 0930096, Japan

[2] Hokkaido Univ, Gastroenterol Surg 1, Grad Sch Med, Sapporo, Hokkaido, Japan

来源：

ASIAN JOURNAL OF ENDOSCOPIC SURGERY | 2018年 / 11卷 / 03期

关键词：

Laparoscopic surgery; rectal cancer; ventriculoperitoneal shunt;

D O I：

10.1111/ases.12444

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Laparoscopic surgery has been relatively contraindicated in patients with ventriculoperitoneal shunts (VPS) because of concerns about the effect of the pneumoperitoneum on shunt function. However, there have been recent reports of laparoscopic surgery on the gallbladder and cecum. This is the first report of laparoscopic high anterior resection for rectal cancer without manipulation of the VPS catheter in a patient with VPS. We made a diagnosis of advanced rectal cancer in a 77-year-old man who had a VPS to treat hydrocephalus after a subarachnoid hemorrhage. We performed the procedure with the patient in a 15 degrees head-down tilt and with 10-mmHg pneumoperitoneum pressure. There were no postoperative complications. We concluded that laparoscopic surgery for rectal cancer can be safely performed in patients with VPS.

引用

页码：259 / 261

页数：3

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