Endoscopic Surgery for Peritoneal Dialysis Catheters in Children

Emir, Haluk

doi:10.1007/978-3-540-49910-7_66

Cited by 3 publications

(6 citation statements)

References 31 publications

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“…Many investigators suggested that laparoscopic catheter placement is superior to open method in terms of the complication rate (especially peritonitis) and catheter survival. [ 8 20 ] In this study, we did not detect such advantages except peritonitis which was very low in laparoscopic group (25 in open group vs 4 in laparoscopic group). The cause of dialysis associated peritonitis in children is not clear.…”

Section: Discussioncontrasting

confidence: 56%

Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years

et al. 2016

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INTRODUCTION:The aim of this study was to evaluate patients with end stage renal failure (ESRD) who underwent chronic peritoneal dialysis (CPD). The clinical outcomes of laparoscopic and open placements of catheters were compared.MATERIALS AND METHODS:We reviewed 49 (18 male and 31 female) children with CPD according to age, sex, cause of ESRD, catheter insertion method, kt/V rate, complications, presence of peritonitis, catheter survival rate between January 2002 and February 2014.RESULTS:Thirty-three patients were with open placement and 16 patients were with laparoscopic placement. The rate of the peritonitis is significantly less in patients with laparoscopic access than open access (n = 4 vs n = 25) (P <0.01). Patients with peritonitis were younger than those who had no attack of peritonitis (10.95 ± 0.8 years vs 13.4 ± 0.85 years). According to the development of complications, significant difference has not been found between the open (n = 9) and laparoscopic (n = 3) approaches except the peritonitis. Catheter survival rate for the first year was 95%, and for five years was 87.5%. There was no difference between open and laparoscopic group according to catheter survival rate. The mean kt/V which indicates the effectiveness of peritoneal dialysis was mean 2.26 ± 0.08. No difference was found between laparoscopic and open methods according to kt/V.CONCLUSION:Laparoscopic placement of CPD results in lower peritonitis rate. Catheter survival rate was excellent in both groups. Single port laparoscopic access for CPD catheter insertion is an effective and safe method.

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Section: Discussioncontrasting

confidence: 56%

Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years

et al. 2016

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“…Bu yöntemlerin çoğunda birden fazla port girişi bulunmaktadır ve bazıları teknik olarak zordur (1)(2)(3)(4)(5) .…”

Section: Discussionunclassified

“…Laporoskopik yöntem son yıllarda popülerlik kazanmış ve birçok teknik modifikasyonlar tariflenmiştir (1)(2)(3)(4)(5) . Bu makalede, tarafımızdan geliştirilen modifiye bir laparoskopik periton diyaliz kateter takılması yönteminin teknik ayrıntılarını değerlendirmeyi amaçladık.…”

Section: Introductionunclassified

Insertion of peritoneal dialysis catheter: An easy method through a single port, and its technical details

Tander¹

2016

Tccd

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“…Despite various types of catheters being available on the market (straight or arcuate, single or double or disc-shaped inner cuff with silicone ball), we preferred the straight double cuff type catheters. Even though the single cuff catheters are easy to remove, we preferred the double cuff ones in order to increase the fixation of the latter and to avoid complications related to its position in between the abdominal wall layers [ 1 ].…”

Section: Methodsmentioning

confidence: 99%

“…The use of peritoneal dialysis to treat renal failure in pediatric population was first reported in the 1940s [ 1 ]. Nowadays, peritoneal dialysis is frequently used as renal replacement therapy in pediatric patients with either chronic or acute renal failure [ 2 , 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique

David,

Mussuto,

Stroescu

et al. 2023

Medicina

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The placement of a peritoneal dialysis catheter (PDC) is currently a common procedure in pediatric surgeon practice, and the search for the ultimate technique never stops. The purpose of this study is to evaluate our experience with the laparoscopic PDC placement approach, performing a “2+1” (“two plus one”) technique, where the “+1” trocar is placed in an oblique manner, pointing toward the Douglas pouch when passing through the abdominal wall. This tunnel is further used to place and maintain the proper position of the PDC. Materials and methods: We assessed a cohort of five children who underwent laparoscopic-assisted PDC placement between 2018 and 2022. Results: This procedure is a simple, relatively quick, and safe technique for PDC placement. Furthermore, in our experience, concomitant omentectomy is necessary to reduce the risk of catheter obstruction and migration due to omental wrapping. Conclusions: The laparoscopic approach allows for improved visualization and more accurate placement of a catheter inside the abdominal cavity. Concomitant omental excision is necessary to prevent PDC malfunction and migration.

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Endoscopic Surgery for Peritoneal Dialysis Catheters in Children

Cited by 3 publications

References 31 publications

Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years

Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years

Insertion of peritoneal dialysis catheter: An easy method through a single port, and its technical details

Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique

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