Laparoscopic transabdominal lumboperitoneal shunt

Communicating hydrocephalus can be handled either by the ventriculoperitone al or, occasionally, the ventriculoatrial shunt. The lumboperitoneal shunt is another option. It does not require a transcranial approach; therefore, it is safer for the patient. We describe a technique that can be performed easily by a skilled laparoscopic surgeon through an anterior approach trans abdominally. The lumboperitoneal (LP) shunt is placed laparoscopically unde r direct videoscopic vision, with the catheter inserted transabdominally th rough the L3 disc space into the thecal sac, In our patient, the lumboperit oneal shunt was placed at the L3 disc space for communicating hydrocephalus . There were no intraoperative of postoperative complications. The LP shunt can be easily placed by a skilled laparoscopic surgeon, The incidence of i nfection and complications is lower, and the patency rate is higher. This s hould be the initial choice for communicating hydrocephalus.