A new simplified one port laparoscopic technique of peritoneal dialysis catheter placement with intra-abdominal fixation

A new simplified one port laparoscopic technique of peritoneal dialysis catheter placement with intra-abdominal fixation

Various laparoscopic techniques have been described for the insertion of peritoneal dialysis catheters. However, most use 3 to 4 ports, thus multiplying the potential risk for abdominal wall complications (hemorrhage, hernia, leaking). A Tenckhoff catheter was placed laparoscopically, using just 1 p...

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Bibliographic Details
Published in:The American journal of surgery Vol. 192; no. 1; pp. 125 - 129
Main Authors: Harissis, Haralampos V., Katsios, Christos S., Koliousi, Elli L., Ikonomou, Margarita G., Siamopoulos, Konstantinos C., Fatouros, Michalis, Kappas, Angelos M.
Format: Journal Article
Language:English
Published: New York, NY Elsevier Inc 01-07-2006
Elsevier
Elsevier Limited
Subjects:
Abdomen
Biological and medical sciences
Catheterization - instrumentation
Catheters
Catheters, Indwelling
Digestive system. Abdomen
Endoscopy
Equipment Design
Follow-Up Studies
General aspects
Hernias
Humans
Investigative techniques, diagnostic techniques (general aspects)
Kidney Failure, Chronic - therapy
Laparoscopy
Medical sciences
Methods
Migration
Peritoneal Dialysis
Retrospective Studies
Suture Techniques
Tenckhoff catheter insertion techniques
Laparoscopy
Tenckhoff catheter insertion techniques
Catheter
Insertion
Peritoneal dialysis
Abdomen
Medicine
Extrarenal dialysis
Fixation
Treatment
Surgery
Endoscopy
Technique
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Description
Summary:Various laparoscopic techniques have been described for the insertion of peritoneal dialysis catheters. However, most use 3 to 4 ports, thus multiplying the potential risk for abdominal wall complications (hemorrhage, hernia, leaking). A Tenckhoff catheter was placed laparoscopically, using just 1 port, in 13 consecutive patients with end-stage renal failure. All catheters were fixed in the abdominal cavity with no additional ports for this purpose. After a follow-up of 76 patient-months, all catheters are working properly. There were no postoperative wall hemorrhages, early leaking, or hernias. There was 1 case of catheter migration and 2 cases of late leaking in 2 patients in total, due to severe constipation. There were no exit site or tunnel infections. One episode of peritonitis was successfully treated with antibiotics. The simplicity and the rapidity of the method justifies serious consideration for its use as the standard Tenckhoff catheter placement.
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ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2006.01.033