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Received: 2010-06-28

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Journal of Zhejiang University SCIENCE B 2011 Vol.12 No.4 P.293-297

http://doi.org/10.1631/jzus.B1000248


Minimally-invasive treatment of communicating hydrocephalus using a percutaneous lumboperitoneal shunt


Author(s):  Lu Jia, Zhong-xin Zhao, Chao You, Jia-gang Liu, Si-qing Huang, Min He, Pei-gang Ji, Jie Duan, Yi-jun Zeng, Guo-ping Li

Affiliation(s):  Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu 610041, China, Department of Neurosurgery, Dujiangyan Renmin Hospital of Sichuan Province, Dujiangyan 611830, China

Corresponding email(s):   hxbslgp@163.com

Key Words:  Communicating hydrocephalus, Percutaneous lumboperitoneal shunt, Cerebrospinal fluid


Lu Jia, Zhong-xin Zhao, Chao You, Jia-gang Liu, Si-qing Huang, Min He, Pei-gang Ji, Jie Duan, Yi-jun Zeng, Guo-ping Li. Minimally-invasive treatment of communicating hydrocephalus using a percutaneous lumboperitoneal shunt[J]. Journal of Zhejiang University Science B, 2011, 12(4): 293-297.

@article{title="Minimally-invasive treatment of communicating hydrocephalus using a percutaneous lumboperitoneal shunt",
author="Lu Jia, Zhong-xin Zhao, Chao You, Jia-gang Liu, Si-qing Huang, Min He, Pei-gang Ji, Jie Duan, Yi-jun Zeng, Guo-ping Li",
journal="Journal of Zhejiang University Science B",
volume="12",
number="4",
pages="293-297",
year="2011",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B1000248"
}

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%T Minimally-invasive treatment of communicating hydrocephalus using a percutaneous lumboperitoneal shunt
%A Lu Jia
%A Zhong-xin Zhao
%A Chao You
%A Jia-gang Liu
%A Si-qing Huang
%A Min He
%A Pei-gang Ji
%A Jie Duan
%A Yi-jun Zeng
%A Guo-ping Li
%J Journal of Zhejiang University SCIENCE B
%V 12
%N 4
%P 293-297
%@ 1673-1581
%D 2011
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1000248

TY - JOUR
T1 - Minimally-invasive treatment of communicating hydrocephalus using a percutaneous lumboperitoneal shunt
A1 - Lu Jia
A1 - Zhong-xin Zhao
A1 - Chao You
A1 - Jia-gang Liu
A1 - Si-qing Huang
A1 - Min He
A1 - Pei-gang Ji
A1 - Jie Duan
A1 - Yi-jun Zeng
A1 - Guo-ping Li
J0 - Journal of Zhejiang University Science B
VL - 12
IS - 4
SP - 293
EP - 297
%@ 1673-1581
Y1 - 2011
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1000248


Abstract: 
Objective: To investigate the clinical value of a minimally-invasive treatment of communicating hydrocephalus using a percutaneous lumboperitoneal (LP) shunt. Method: The clinical and long-term follow-up data of 256 patients suffering from communicating hydrocephalus and undergoing percutaneous LP shunt during 1998 to 2008 were retrospectively analyzed. Results: After the follow-up, which lasted 6 months to 10 years, 219 cases of communicating hydrocephalus recovered well (ventricular size returned to normal and symptoms completely disappeared), 25 cases were brought under control (ventricle size reduced by 50% and symptoms partially abated), and 12 cases showed no obvious changes. Fifteen obese subjects needed modifications of the shunt due to the obstruction of the abdominal end following wrapping, and one subject underwent extubation as the subject was unable to tolerate stimulation of the cauda equina. The effectiveness of shunting was 91.40% and the probability of shunt-tube obstruction, which occurs predominantly in the abdominal end, was only 5.85%, far lower than that of ventriculoperitoneal (VP) shunt. Three subjects had a history of infection following VP shunting. Conclusion: LP shunting is minimally invasive and effective in treating communicating hydrocephalus, with fewer complications.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

Reference

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