PMC6261403_01
CT showed that LP shunt was routed from the subarachnoid space at the level of fourth and fifth lumber spines through the subcutaneous tissue of the left back and into the abdominal cavity.
CRIS2018-6826079.001.jpg
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fig1
CT revealed that the LP shunt was routed from the subarachnoid space at the level of fourth and fifth lumber spine through the subcutaneous tissue of the left back and left flank and into the abdominal cavity (Figure 1).
Port arrangement is shown by black lines. The umbilicus port is 12 mm, and the others are 5 mm port. The dotted circle indicates the site where the shunt tube is predicted to be inserted into the abdominal cavity.
CRIS2018-6826079.002.jpg
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fig2
After peritoneal insufflation using carbon dioxide, trocars were inserted, avoiding the left abdomen (Figure 2).
Intraoperatively, we could confirm the shunt tube and avoid damage.
CRIS2018-6826079.003.jpg
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fig3
The position of the shunt tube was confirmed in the abdominal cavity, and surgery was performed without any interference (Figure 3).