{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T02:14:35Z","timestamp":1772849675507,"version":"3.50.1"},"reference-count":17,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2009,9]]},"abstract":"<jats:p>The authors have developed a minimally invasive lumboperitoneal shunt placement procedure conducted after administration of a local anesthetic. The procedure involves placing a guide wire and a peel-away sheath under fluoroscopic and CT guidance. Between June 2004 and August 2006, 40 patients (21 men and 19 women; mean age 72.5 years [range 33\u201386 years]) underwent surgery. A Codman Hakim programmable valve system (82\u20133844, Codman &amp; Shurtleff, Inc.) was used for the procedure. The mean operating time was 53 minutes, and 7 patients (17.5%) developed shunt dysfunction complications. These complications comprised an infected shunt valve in 2 patients, postoperative lower-limb pain in 1 patient, and shunt obstruction (caused by debris and hemorrhage) at the ventral and lumbar ends in 2 patients each. This procedure is less invasive than conventional lumboperitoneal shunt insertion and could be performed as an outpatient surgery for treatment of idiopathic normal-pressure hydrocephalus.<\/jats:p>","DOI":"10.3171\/2009.1.jns08204","type":"journal-article","created":{"date-parts":[[2009,2,27]],"date-time":"2009-02-27T14:14:48Z","timestamp":1235744088000},"page":"618-622","source":"Crossref","is-referenced-by-count":7,"title":["Lumboperitoneal shunt placement using computed tomography and fluoroscopy in conscious patients"],"prefix":"10.3171","volume":"111","author":[{"given":"Madoka","family":"Nakajima","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Juntendo University, Tokyo;"},{"name":"Department of Neurosurgery, Fujisawa City Hospital; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuniaki","family":"Bando","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fujisawa City Hospital; and"},{"name":"Bando Clinic, Yokohama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masakazu","family":"Miyajima","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Juntendo University, Tokyo;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hajime","family":"Arai","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Juntendo University, Tokyo;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-1110618","series-title":"Neurosurgery","first-page":"998","article-title":"Lumboperitoneal shunt: clinical applications, complications, and comparison with ventriculoperitoneal shunt","volume":"26","author":"Aoki","year":"1990"},{"issue":"4","key":"b2-1110618","series-title":"Neurosurg Focus","first-page":"E8","article-title":"Management of patients with normal-pressure hydrocephalus by using lumboperitoneal shunt system with the Codman Hakim programmable valve","volume":"7","author":"Chang","year":"1999"},{"key":"b3-1110618","series-title":"J Neurosurg","first-page":"568","article-title":"Tonsillar herniation: the rule rather than the exception after lumboperitoneal shunting in the pediatric population","volume":"78","author":"Chumas","year":"1993"},{"key":"b4-1110618","series-title":"Br J Neurosurg","first-page":"595","article-title":"Death from chronic tonsillar herniation in a patient with lumboperitoneal shunt and Crouzon's disease","volume":"6","author":"Chumas","year":"1992"},{"key":"b5-1110618","series-title":"Neurosurgery","first-page":"376","article-title":"Lumboperitoneal shunting: a retrospective study in the pediatric population","volume":"32","author":"Chumas","year":"1993"},{"key":"b6-1110618","series-title":"J Neurosurg","first-page":"427","article-title":"Lumboperitoneal shunts. Review of 34 cases","volume":"35","author":"Eisenberg","year":"1971"},{"key":"b7-1110618","series-title":"J Neurosurg","first-page":"258","article-title":"New lumboperitoneal shunt for communicating hydrocephalus: technical note","volume":"44","author":"Hoffman","year":"1976"},{"key":"b8-1110618","series-title":"Br J Neurosurg","first-page":"535","article-title":"A clinical audit of the Hakim programmable valve in patients with complex hydrocephalus","volume":"14","author":"Kay","year":"2000"},{"key":"b9-1110618","series-title":"J Neurosurg","first-page":"430","article-title":"Endoscopically aided retroperitoneal placement of a lumboperitoneal shunt. 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