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VENTRICULOLYMPHANGIOSTOMY *
Author(s) -
Yokoyama Ikuzo,
Aoki Hideo,
Tatebayashi Kinichiro,
Hirai Tatsuo,
Matsumoto Tetsuo,
Fukushima Tadashi
Publication year - 1959
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/j.1440-1819.1959.tb02441.x
Subject(s) - shunting , thoracic duct , connective tissue , medicine , surgery , hydrocephalus , occlusion , shunt (medical) , anatomy , lymphatic system , pathology
SUMMARY1) A new operative method, ventriculolymphangiostomy, intending to drain intraventricular fluid into the thoracic duct was devised. The operative technique consisted of the communication between the lateral ventricle and the thoracic duct at the level of the 9th thoracal vertebra with the aid of a vinyl tube. 2) The new shunting operation was applied to three patients for the purpose of treating hydrocephalus obstructivus. After the operation the shunting route was demonstrated to be functioning without any severe complications, but obstructed in all the patients within a relatively short period of time, probably in the course of one to two weeks after operation. The occlusion was disclosed to be attributed to the connective tissue proliferation in the thoracic duct. 3) Our clinical experiences and the results of our experimental studies on the thoracic ducts of living dogs showed that the chief fault of our shunting operation might be the connective tissue proliferation in the recipient place for internal drainage, i. e. an irritative effect of the inserted vinyl tube. 4) It should be necessary to search for a tube with minimal irritative effect, when used in establishing the shunting route, in order to obtain its persistent patency.