Laparoscopic treatment of ventriculoperitoneal shunt complication caused by distal catheter isolation inside the falciform ligament in infant hydrocephalus

doi:10.3877/cma.j.issn.1674-6899.2025.02.010

Abstract

Abstract:

Objective

To explore the causes of falciform ligament cyst and the advantages of laparoscopy in the management of abdominal complications after ventriculoperitoneal shunt in infantile hydrocephalus.

Methods

A retrospective analysis and literature review were conducted on the clinical data of four infantile hydrocephalus cases who developed falciform ligament cysts following ventriculoperitoneal shunt surgery at Capital Center for Children's Health, Capital Medical University between Sep. 2017 and Sep. 2022.

Results

After confirming the abdominal complications by ultrasound and CT, the fascia of the falciform ligament was dissected and cerebrospinal fluid was removed. Afterwards, the distal catheter was placed into the peritoneal cavity to keep it unobstructed. Postoperatively, all four infantile patients showed significant clinical improvement, with a noticeable reduction in lateral ventricular size compared to preoperative measurement.

Conclusion

The development of falciform ligament cyst is not only related to the physiological and anatomical characteristics of infants, but also to the abdominal incision of distal catheter placement. Laparoscopy is able to safely and effectively diagnose and treat abdominal complications.

Key words: Hydrocephalus, Ventriculoperitoneal shunt, Falciform ligament, Laparoscopy surgery

Jiye Li, Jun Zhang, Mingxing Wu, Wei Song, Fei Di. Laparoscopic treatment of ventriculoperitoneal shunt complication caused by distal catheter isolation inside the falciform ligament in infant hydrocephalus[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2025, 18(02): 121-124.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2025.02.010

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References 21

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