To investigate the clinical application of modified transumbilical single port laparoscopic technique in ventriculoperitoneal shunt.

Sixty patients with hydrocephalus who underwent ventriculoperitoneal shunt at our hospital from January 1, 2020 to June 1, 2021 were retrospectively selected, of whom 30 underwent the modified transumbilical single port laparoscopic technique (experimental group) and 30 underwent traditional laparotomy (control group). The time to first postoperative exhaust, hospitalization time, operative time, and postoperative complications were recorded in both group. The visual analogue scale (VAS) score and pain factors [including noradrenaline (NE), substance P (SP), and prostaglandin E₂ (PGE₂)] were compared between the two groups before and 5 days after the operation. (NE), substance P (SP) and prostaglandin E₂ (PGE₂)] changed.

The time to first postoperative exhaust, hospitalization time, and operative time were shorter in the experimental group than in the control group (P＜0.05). At 5 days postoperatively, VAS score was lower than that before the operation in both groups (P＜0.05); VAS score was lower in the experimental group than in the control group (P＜0.05). At 5 days postoperatively, the levels of NE, SP, and PGE₂ were higher than those before the operation in both groups (P＜0.05); the levels of NE, SP, and PGE₂ were lower in the experimental group than in the control group (P＜0.05).

The modified transumbilical single port laparoscopic technique has obvious clinical effects in ventriculoperitoneal shunt, which can promote the rapid recovery of patients, significantly reduce pain, and inhibit the release of pain factors, and is associated with fewer postoperative complications.