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神经导航和腹腔镜引导脑室腹腔分流插入治疗脑积水
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JoVE Journal Medicine
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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神经导航和腹腔镜引导脑室腹腔分流插入治疗脑积水

DOI:
10.3791/62678-v

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14:59 min

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October 14, 2022

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, ,
1Division of Neurosurgery,University of Calgary, 2Department of Surgery,University of Calgary, 3Adult Hydrocephalus Program, Department of Clinical Neuroscience,University of Calgary

Chapters

  • 00:05Introduction
  • 02:13Positioning and Pre-Procedure Set-Up
  • 04:09Cranial Exposure
  • 04:43Subcutaneous Distal Catheter Placement
  • 06:03Valve Attachment
  • 06:33Ventricular (Proximal) Catheter Insertion
  • 08:11Intrabdominal (Distal) Catheter Placement
  • 11:14Closure
  • 11:43Representative Results
  • 14:16Conclusion

Summary

Automatic Translation

Automatic Translation

脑室腹腔 （VP） 分流手术（成人脑积水的主要治疗方法）的患者结局较差，因为分流失败率高。我们使用神经导航和腹腔镜引导提供 VP 分流插入术中录像，目的是分别降低近端和远端分流导管失败的风险。

Tags

NeuronavigationLaparoscopyVentriculoperitoneal ShuntHydrocephalusIdiopathic Normal Pressure HydrocephalusINPHMagnetic Resonance ImagingMRIEvans IndexGaitCognitive ImpairmentUrinary IncontinenceExternal Lumbar DrainELD TrialCSF RemovalPositioningPre-procedureEntry PointTargetProximal Catheter

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