Successful laparoscopic cholecystectomy in a patient with ventriculoperitoneal shunt: a case report


  • Ajay Kumar Thakral Department of General Surgery, Hamdard Institute of Medical Sciences and Research, India
  • Atul Aggarwal Department of General Surgery, Hamdard Institute of Medical Sciences and Research, India
  • Aamir Farooq Department of General Surgery, Hamdard Institute of Medical Sciences and Research, India
  • Anklesh Sinha Department of General Surgery, Hamdard Institute of Medical Sciences and Research, India



VP shunt, Laparoscopy, Cholecystectomy, Hydrocephalus


With advances in medical care there is a significant increase in life expectancy of patients with hydrocephalus. Many patients survive and live a meaningful life even after a decade of ventriculoperitoneal (VP) shunt placement. In this scenario, there are all the chances that these patients may need abdominal surgeries for pathologies unrelated to VP shunt. Laparoscopic cholecystectomy is one of the most common abdominal surgeries being performed. In patients with VP shunt in situ, before performing laparoscopic cholecystectomy factors such as type of shunt, shunt function, presence of shunt infection and possibility of shunt malfunction needs to be assessed. Laparoscopic cholecystectomy in a patient with previous VP shunt is not a well answered question. Some authors favor this while the others disagree. With proper anesthetic management and monitoring it is safe to perform laparoscopic cholecystectomy in these patients, even though literature gives little information about it. So, this case report is our sincere effort to strengthen the available data and stabilize a ground that can we can safely perform laparoscopic cholecystectomy in patient with VP shunt.


Sankpal R, Chandavarkar A, Chandavarkar M. Safety of Laparoscopy in Ventriculoperitoneal Shunt Patients. J Gynecol Endosc Surg. 2011;2(2):91-3.

Uzzo RG, Bilsky M, Mininberg DT, Poppas DP. Laparoscopic surgery in children with ventriculoperitoneal shunts: effect of pneumoperitoneum on intracranial pressure-preliminary experience. Urology. 1997;49(5):753-7.

Wang YM, Liu YC, Ye XD, Chia YY, Liu K. Anesthetic management of laparoscopic surgery in a patient with a ventriculoperitoneal shunt. Acta Anaesthesiol Sin. 2003;41(2):85-8.

Eguiluz-Melendez A, Rodríguez-Hernández LA, López-Molina A, Sangrador-Deitos MV, Mondragón-Soto MG et al. Obstructive hydrocephalus due to posterior fossa tumors in adults: a comparative analysis of three surgical techniques. World Neurosurg. 2023;S1878-8750(23)00471-0.

Kausch W. Die Behandlung des Hydrocepha-lus der kleinen Kinder. Arch Klin Chir. 1908;87:709-99.

Hanak BW, Bonow RH, Harris CA, Browd SR. Cerebrospinal Fluid Shunting Complications in Children. Pediatr Neurosurg. 2017;52(6):381-400.

Jackman SV, Weingart JD, Kinsman SL, Docimo SG. Laparoscopic surgery in patients with ventriculoperitoneal shunts: safety and monitoring. J Urol. 2000;164(4):1352-4.

Collure DW, Bumpers HL, Luchette FA, Weaver WL, Hoover EL. Laparoscopic cholecystectomy in patients with ventriculoperitoneal (VP) shunts. Surg Endosc. 1995;9(4):409-10.

Cobianchi L, Dominioni T, Filisetti C, Zonta S, Maestri M, Dionigi P et al. Ventriculoperitoneal shunt and the need to remove a gallbladder: Time to definitely overcome the feeling that laparoscopic surgery is contraindicated. Ann Med Surg (Lond). 2014;3(3):65-7.

Neale ML, Falk GL. In vitro assessment of back pressure on ventriculoperitoneal shunt valves. Is laparoscopy safe? Surg Endosc. 1999;13(5):512-5.






Case Reports