{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T20:55:55Z","timestamp":1774644955974,"version":"3.50.1"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T00:00:00Z","timestamp":1670284800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Lumboperitoneal shunt (LPS) is an effective procedure for managing communicating hydrocephalus. LPS is performed as a one-stage procedure with the patient placed in the lateral position or as a two-stage procedure in which the patient's position is changed. Both methods can be bothersome to neurosurgeons. We designed a continuous two-stage LPS procedure in which the operative sites did not need to be sterilized again, and the surgical drapes did not have to be changed after changing the patient's position. In this study, we analyzed this procedure in terms of the technical features and outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients from our institute who underwent LPS using the continuous two-stage procedure from October 2019 to August 2021 were reviewed retrospectively. The patient's demographic information, clinical features, operative data, and outcomes were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 46 consecutive patients who underwent LPS using the continuous two-stage procedure were enrolled. The mean operative duration was 70.6 \u00b1 12.7 min. The 180-day revision rate for these patients was 2.2% (1\/46). Moreover, 76.1% of the patients (35\/46) experienced clinical improvement after LPS during the 180-day follow-up, and 70.0% of the patients (32\/46) experienced an improvement in neuroimaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We described a continuous two-stage LPS procedure. This method simplified the two-stage LPS procedure and maintained a low malfunction rate and shunt infection rate in our series.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fneur.2022.1059316","type":"journal-article","created":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T07:02:19Z","timestamp":1670310139000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Lumboperitoneal shunt surgery via continuous two-stage procedure: Technique notes and outcomes"],"prefix":"10.3389","volume":"13","author":[{"given":"Zhao","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Han","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiqi","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaofeng","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liang","family":"Wen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,12,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1024","DOI":"10.3171\/2018.5.JNS1875","article-title":"Outcomes and complications of different surgical treatments for idiopathic normal pressure hydrocephalus: A systematic review and meta-analysis","volume":"131","author":"Giordan","year":"2019","journal-title":"J Neurosurg."},{"key":"B2","doi-asserted-by":"publisher","first-page":"e20528","DOI":"10.1097\/MD.0000000000020528","article-title":"Comparison of ventriculoperitoneal shunt to lumboperitoneal shunt in the treatment of posthemorrhagic hydrocephalus: A prospective, monocentric, non-randomized controlled trial","volume":"99","author":"Sun","year":"2020","journal-title":"Medicine (Baltimore)."},{"key":"B3","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1016\/S1474-4422(15)00046-0","article-title":"Lumboperitoneal shunt surgery for idiopathic normal pressure hydrocephalus (SINPHONI-2): an open-label randomised trial","volume":"14","author":"Kazui","year":"2015","journal-title":"Lancet Neurol."},{"key":"B4","doi-asserted-by":"publisher","first-page":"552","DOI":"10.2176\/nmc.tn.2013-0379","article-title":"Use of blunt scalp hooks for abdominal procedure in lumboperitoneal shunt placement: Technical note","volume":"54","author":"Kawahara","year":"2014","journal-title":"Neurol Med Chir (Tokyo)."},{"key":"B5","doi-asserted-by":"publisher","first-page":"643","DOI":"10.3390\/medicina55100643","article-title":"Lumboperitoneal shunt: A new modified surgical technique and a comparison of the complications with ventriculoperitoneal shunt in a single center","volume":"55","author":"Yang","year":"2019","journal-title":"Med."},{"key":"B6","doi-asserted-by":"publisher","first-page":"548","DOI":"10.3171\/2019.10.SPINE19957","article-title":"Lumboperitoneal shunt surgery via lateral abdominal laparotomy","volume":"32","author":"Goto","year":"2020","journal-title":"J Neurosurg Spine."},{"key":"B7","first-page":"305","article-title":"Laparoscopic-assisted lumboperitoneal shunt: a simplified technique","volume":"5","author":"Johna","year":"2001","journal-title":"JSLS."},{"key":"B8","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1093\/neuros\/nyz080","article-title":"Lumboperitoneal and ventriculoperitoneal shunting for idiopathic intracranial hypertension demonstrate comparable failure and complication rates","volume":"86","author":"Azad","year":"2020","journal-title":"Clin Neurosurg."},{"key":"B9","doi-asserted-by":"publisher","first-page":"63","DOI":"10.2176\/nmc.st.2020-0292","article-title":"Guidelines for management of idiopathic normal pressure hydrocephalus (Third edition): Endorsed by the Japanese society of normal pressure hydrocephalus","volume":"61","author":"Nakajima","year":"2021","journal-title":"Neurol Med Chir."},{"key":"B10","doi-asserted-by":"publisher","first-page":"e638","DOI":"10.1016\/j.wneu.2019.03.235","article-title":"Lumboperitoneal and ventriculoperitoneal shunt surgery for posthemorrhagic communicating hydrocephalus: a comparison","volume":"127","author":"Wang","year":"2019","journal-title":"World Neurosurg."},{"key":"B11","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1007\/s00464-003-9038-4","article-title":"Endoscopic implantation and patency evaluation of lumboperitoneal shunt: an innovative technique","volume":"18","author":"Hay","year":"2004","journal-title":"Surg Endosc."},{"key":"B12","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1080\/08820530802007333","article-title":"Laparoscopic-assisted lumboperitoneal shunt placement for idiopathic intracranial hypertension","volume":"23","author":"Hammers","year":"2008","journal-title":"Semin Ophthalmol."},{"key":"B13","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1097\/SLE.0000000000000141","article-title":"Laparoscopic-assisted peritoneal shunt insertion for ventriculoperitoneal and lumboperitoneal shunt placement: an institutional experience of 53 consecutive cases","volume":"25","author":"Sosin","year":"2015","journal-title":"Surg Laparosc Endosc Percutan Tech."},{"key":"B14","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1016\/j.amsu.2019.10.033","article-title":"CSF-diverting shunts: Implications for abdominal and pelvic surgeons; a review and pragmatic overview","volume":"48","author":"Goel","year":"2019","journal-title":"Ann Med Surg."},{"key":"B15","doi-asserted-by":"publisher","first-page":"175","DOI":"10.2176\/nmc.49.175","article-title":"Change of patient position using a transportation board during lumboperitoneal shunting - Technical note","volume":"49","author":"Shimizu","year":"2009","journal-title":"Neurol Med Chir."}],"updated-by":[{"DOI":"10.3389\/fneur.2023.1156059","type":"corrigendum","label":"Corrigendum","source":"publisher","updated":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T00:00:00Z","timestamp":1677456000000}}],"container-title":["Frontiers in Neurology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2022.1059316\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T15:32:40Z","timestamp":1677511960000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2022.1059316\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,6]]},"references-count":15,"alternative-id":["10.3389\/fneur.2022.1059316"],"URL":"https:\/\/doi.org\/10.3389\/fneur.2022.1059316","relation":{"corrigendum":[{"id-type":"doi","id":"10.3389\/fneur.2023.1156059","asserted-by":"object"}]},"ISSN":["1664-2295"],"issn-type":[{"value":"1664-2295","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,6]]},"article-number":"1059316"}}