Document Detail


Laparoscopic removal of a foreign body in the pelvic cavity through one port using a flexible cholangioscope.
MedLine Citation:
PMID:  19468226     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Background: More than two trocar ports 12 mm in diameter were usually used to remove a foreign body from the peritoneal cavity using laparoscopic surgery. We designed a method of laparoscopic removal through a single port 5 mm in diameter and a flexible cholangioscope. Patients and Methods: The patient had a ventriculoperitoneal shunt (V-P shunt) catheter implanted for hydrocephalus of unknown cause in his 40s. Endoscopic marsupialization of the third ventricle was performed because of functional failure of the V-P shunt catheter 7 years after the implantation. A falling off of the V-P shunt catheter into the pelvic space was detected, and laparoscopic removal of the V-P shunt catheter was performed. A laparoscope was inserted through a trocar port 5 mm in diameter to confirm the location of the V-P shunt catheter following replacement of the flexible cholangioscope to grasp the catheter. The catheter was held using a snare catheter through the cholangioscope. The V-P shunt catheter was removed by pulling through the trocar port with the flexible cholangioscope. Conclusion: Laparoscopic removal is a good technique for removal of a foreign body in the peritoneal cavity. It enables one-port laparoscopic removal using a flexible cholangioscope.
Authors:
Nobuhiro Kurita; Mitsuo Shimada; Toshihiro Nakao; Motoya Chikakiyo; Tomohiko Miyatani; Jun Higashijima; Kozo Yoshikawa; Masanori Nishioka; Takashi Iwata
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-05-20
Journal Detail:
Title:  Digestive surgery     Volume:  26     ISSN:  1421-9883     ISO Abbreviation:  Dig Surg     Publication Date:  2009  
Date Detail:
Created Date:  2009-07-24     Completed Date:  2009-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501808     Medline TA:  Dig Surg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  205-8     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2009 S. Karger AG, Basel.
Affiliation:
Department of Surgery, University of Tokushima, Kuramoto-cho 3-18-15, Tokushima, Japan. kurita@clin.med.tokushima-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Catheterization*
Device Removal / instrumentation,  methods*
Foreign Bodies / etiology,  surgery*
Humans
Laparoscopy / methods*
Male
Middle Aged
Pelvis*
Treatment Outcome
Ventriculoperitoneal Shunt / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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