Laparoscopic cecal cancer resection in a patient with a ventriculoperitoneal shunt: A case report

Takayuki Torigoe; Shiro Koui; Tomohito Uehara; Koichi Arase; Yoshifumi Nakayama; Koji Yamaguchi

doi:10.1016/j.ijscr.2013.01.005

Laparoscopic cecal cancer resection in a patient with a ventriculoperitoneal shunt: A case report

Int J Surg Case Rep. 2013;4(3):330-3. doi: 10.1016/j.ijscr.2013.01.005. Epub 2013 Jan 19.

Authors

Takayuki Torigoe¹, Shiro Koui, Tomohito Uehara, Koichi Arase, Yoshifumi Nakayama, Koji Yamaguchi

Affiliation

¹ Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Kitakyushu 807-8555, Japan. Electronic address: torigoe@med.uoeh-u.ac.jp.

Abstract

Introduction: The presence of a ventriculoperitoneal shunt has been considered to be a contraindication for laparoscopic surgery till date; however, laparoscopic cholecystectomy was recently reported as safe for patients with this shunt.

Presentation of case: We present the first case, to the best of our knowledge, of laparoscopic colectomy for cecal cancer in a patient with a ventriculoperitoneal shunt. A 59-year-old woman with a ventriculoperitoneal shunt for hydrocephalus was referred to our hospital with cecal cancer. Laparoscopic cecal cancer resection was performed successfully and uneventfully by manipulating the shunt.

Discussion: Clamping of the shunt catheter at the subcutaneous region was performed before insufflation of carbon dioxide to prevent adverse effects from the pneumoperitoneum.

Conclusion: We believe that laparoscopic colectomy for colon cancer can be performed safely in patients with a ventriculoperitoneal shunt by optimal manipulation of the shunt.