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Case Reports
. 2011 Apr-Jun;15(2):257-60.
doi: 10.4293/108680811X13071180407113.

Removal of an intraperitoneal foreign body using a single port laparoscopic procedure

Cristian Lupascu  1 , Marius Dabija, Corina Ursulescu, Dan Andronic, Ciprian Vasiluta, Manuela Ursaru
Affiliations
Case Reports

Removal of an intraperitoneal foreign body using a single port laparoscopic procedure

Cristian Lupascu et al. JSLS. 2011 Apr-Jun.

Erratum in

  • JSLS. 2012 Jan-Mar;16(1):189

Abstract

Background and objectives: To remove a foreign body from the peritoneal cavity in laparoscopic surgery, 2 or 3 ports are usually used. We have recently performed such a removal using a single 10-mm transumbilical port, a 0-degree laparoscope, a Farabeuf retractor, and a laparoscopic grasping forceps.

Methods: Two patients with ventriculoperitoneal shunt catheter (V-P shunt) were admitted to our unit during the last year. They previously had a shunt catheter implanted for hydrocephalus of unknown cause. The complete migration of the ventriculoperitoneal shunt catheter into the peritoneal cavity was observed in these patients 12 and 7 years after the implantation. The laparoscopic removal of the migrated catheter was decided on. Its presence and location were confirmed by the use of a 0-degree laparoscope, through a 10-mm trocar port. The catheter was held and pulled out using a grasping forceps that was pushed in just beside the trocar port.

Conclusion: The laparoscopic approach enables safe removal of a foreign body in the peritoneal cavity. The procedure can be performed using a single port.

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Figures

Figure 1.
Figure 1.
Plain abdominal X-ray: the V-P shunt catheter inside the abdominal cavity.
Figure 2.
Figure 2.
Abdominal CT: the V-P shunt catheter located in the lower abdomen.
Figure 3.
Figure 3.
Our simplified single-port laparoscopic technique: the position of the Farabeuf retractor, grasping forceps, and laparoscope.
Figure 4.
Figure 4.
The removed V-P shunt catheter.
See this image and copyright information in PMC

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