Laparoscopic-assisted peritoneal dialysis catheter placement: a microinvasive technique

Carrillo, Sergio A.; Ghersi, Marcelo M.; Unger, S. W.

doi:10.1007/s00464-006-9148-x

Cited by 12 publications

(7 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2,4 Investigators have developed different techniques to minimize the risk of outfl ow obstruction and solve problems such as omentopexy. [5][6][7][8][9] We recently devised a twoport technique for PDC placement with lower abdominal wall fi xation to prevent catheter tip migration.…”

Section: Introductionmentioning

confidence: 99%

Two-port laparoscopic placement of a peritoneal dialysis catheter with abdominal wall fixation

Ko¹,

Bae

et al. 2009

Surg Today

View full text Add to dashboard Cite

We devised a new laparoscopic technique for peritoneal dialysis catheter (PDC) placement to overcome the common problem of malfunction or migration of the catheter. Between March 2005 and August 2006, 38 patients underwent laparoscopic catheter placement with lower abdominal wall fixation. Using an abdominal scout film, we checked for catheter tip migration regularly. There was no leak in the immediate postoperative period. After follow-up of 21.5 months (range 6-34), all catheters were working properly, although tip migrations were found in the iliac fossa in three patients and in the right upper quadrant in one patient. A port site hernia developed in one patient and peritonitis developed in two patients. Only one remote migration (2.6%) occurred during the study period. Thus, our method of laparoscopic catheter insertion might be a feasible option.

show abstract

Section: Introductionmentioning

confidence: 99%

Two-port laparoscopic placement of a peritoneal dialysis catheter with abdominal wall fixation

Ko¹,

Bae

et al. 2009

Surg Today

View full text Add to dashboard Cite

show abstract

“…We, therefore, planned a study combining these techniques, omental wrapping and catheter tip migration, which cause disturbances in fluid inflow or outflow which can be minimized, to make a more clear statement about this method. We observed no significance with having compared to the literature as to the patient mortality and morbidity [6, 7, 11–17, 20–23]. Laparoscopy also permits to remedial operations such as repositioning of the catheter or dissolving the omental wrapping.…”

Section: Discussionmentioning

confidence: 66%

A Modified Method in Laparoscopic Peritoneal Catheter Implantation: The Combination of Preperitoneal Tunneling and Pelvic Fixation

Güneş¹,

Uzum²,

Koc³

et al. 2013

ISRN Surgery

View full text Add to dashboard Cite

Introduction. Continuous ambulatory peritoneal dialysis (CAPD) is widely accepted for the management of end-stage renal disease (ESRD). Although not as widely used as hemodialysis, CAPD has clear advantages, especially those related to patient satisfaction and simplicity. Peritoneal dialysis (PD) catheter insertion can be accomplished by several different techniques. In this study, we aimed to evaluate our results obtained with peritoneal dialysis catheter placement by combination of pelvic fixation plus preperitoneal tunneling. Material and Methods. Laparoscopic peritoneal catheter implantation by combining preperitoneal tunneling and pelvic fixation methods was performed in 82 consecutive patients with end-stage renal disease. Sex, age, primary disease etiology, complications, mean duration of surgery, mean duration of hospital stay, morbidity, mortality, and catheter survival rates and surgical technique used were assessed. Analysis of catheter survival was performed using the Kaplan-Meier method. Results. Mean follow-up period was 28.35 ± 14.5 months (range of 13–44 months). Mean operative time was 28 ± 6 minutes, and mean duration of hospital stay was 3 ± 1 days. There were no conversions from laparoscopy to other insertion methods. None of the patients developed serious complications during surgery or the postoperative period. No infections of the exit site or subcutaneous tunnel, hemorrhagic complications, abdominal wall hernias, or extrusion of the superficial catheter cuff was detected. No mortality occurred in this series of patients. Catheter survival was found to be 92% at 3 years followup. Conclusions. During one-year followup, we had seven patients of migrated catheters due to separation of pelvic fixation suture from peritoneal surface, but they were reimplanted and fixated again laparoscopically with success. Over a three-year followup period, catheter survival was found to be 92%. In the literature, similar catheter survival rates without combination of the two techniques are reported. As a conclusion, although laparoscopic placement of PD catheters avoids many perioperative and early complications, as well as increasing catheter free survival period and quality of life, our results comparing to other studies in the literature indicate that different laparoscopic placement methods are still in debate, and further studies are necessary to make a more accurate decision.

show abstract

“…Carrillo et al reported a method using two trocars without accompanying catheter management; their study showed good catheter outcome in a small patient group during a short follow-up period (median follow-up period ¼ 1 year). 13 Laparoscopic PD catheter placement also allows for concomitant procedures during the operation. Adhesiolysis was the most commonly reported combined procedure in several series.…”

Section: Discussionmentioning

confidence: 99%

Five-year experience of peritoneal dialysis catheter placement

Li¹,

Chen²,

Cheng³

et al. 2012

Journal of the Chinese Medical Association

View full text Add to dashboard Cite

Laparoscopic-assisted peritoneal dialysis catheter placement: a microinvasive technique

Cited by 12 publications

References 40 publications

Two-port laparoscopic placement of a peritoneal dialysis catheter with abdominal wall fixation

Two-port laparoscopic placement of a peritoneal dialysis catheter with abdominal wall fixation

A Modified Method in Laparoscopic Peritoneal Catheter Implantation: The Combination of Preperitoneal Tunneling and Pelvic Fixation

Five-year experience of peritoneal dialysis catheter placement

Contact Info

Product

Resources

About