**8. Conclusion**

Surgical management of hydrocephalus using neuronavigated laparoscopicassisted VP shunt placements is becoming a widely accepted alternative to the traditional mini-laparotomy approach. This technique offers a safe, effective, and minimally invasive approach for VP placements in hydrocephalic patients. It provides accurate insertion of both the ventricular and peritoneal catheter, resulting in decreased complications of mechanical, functional, and infectious origin, as well as revision rates. As much of VP shunt-related costs result from shunt revisions, any technical advancements made to reduce revision rates will help alleviate the medical and financial burden associated with this common neurosurgical procedure. This technique should also be considered in more difficult patient cases involving obesity and extensive peritoneal adhesions from previous abdominal surgeries. The benefits offered by the neuronavigated laparoscopic-assisted approach are numerous and seem to outweigh any concerns surrounding this technique. This particular surgical approach should be considered in adjusting current routine practices, resulting in optimal care for hydrocephalic patients and decreasing VP shunt-related medical costs.
