Laparoscopic Peritoneal Dialysis Catheter Placement With Rectus Sheath Tunneling: A One-Port Simplified Technique

Blitzkow, Ana Carolina Buffara; Biagini, Gilson; Sabbag, Carlos; Buffara-Junior, Victor Assad

doi:10.1590/0102-672020220002e1690

Cited by 3 publications

(4 citation statements)

References 27 publications

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“…In addition, hospitalization time may increase, which is not cost-effective. [6,11,17–19] According to our results, this modified laparoscopic PD catheter insertion achieved a technical dysfunction rate of 5% omental wrapping when the PD catheter was correctly inserted into the Douglas pouch.…”

Section: Discussionmentioning

confidence: 83%

Laparoscopy-assisted peritoneal dialysis catheter placement using a modified minimally invasive approach: A retrospective observational study

Bayraktar,

Aki

2023

Medicine

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Peritoneal dialysis is a reliable and effective treatment for end-stage kidney disease. However, inadequate catheter insertion can lead to mechanical dysfunction, which remains an unresolved problem. In this study, we present the initial results of a modified laparoscopic approach. This study included 38 patients who underwent peritoneal dialysis using a modified laparoscopic approach. During the procedure, a single laparoscopic trocar was employed, and peritoneal entry was performed using a percutaneous pull-apart sheath/dilator. To minimize the risk of complications, the free catheter portion was kept short in the peritoneum. The modified method was guided by proven recommendations of the standard laparoscopic technique. The mean operation time was recorded as 24.28 ± 15.5. The mean hospitalization was found to be 1.20 ± 0.72 days. The postoperative morbidity was 26.3%. The mechanical dysfunction rate was 5.26%. The median follow-up time was 20.4 ± 17.14 months. The median peritoneal dialysis catheter-free survival was 25.96 ± 4.02 months. The catheter-free survival rate was 92.11%. The modified laparoscopic approach has been demonstrated to be a safe and effective option, and initial studies have indicated that it offers several benefits over traditional methods, including a straightforward procedure with a brief duration, minimal complications, and brief hospital stay.

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Section: Discussionmentioning

confidence: 83%

Laparoscopy-assisted peritoneal dialysis catheter placement using a modified minimally invasive approach: A retrospective observational study

Bayraktar,

Aki

2023

Medicine

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“…In relation to the advantages of the laparoscopic approach versus the open placement of PDC, opinions among specialists are varied. Some meta-analysis and prospective studies revealed no superiority of laparoscopic techniques over the open approach [ 16 , 22 , 23 ]. A 10-year review of acute peritoneal dialysis catheter placement by Maria Stack et al showed no significant differences in complication rates between laparoscopic and open surgical approaches.…”

Section: Discussionmentioning

confidence: 99%

“…However, an increased leakage with laparoscopic procedures has been reported [ 24 ]. Moreover, on the basis of being less time-consuming and demanding of technical resources, the open approach is considered cost-effective and superior [ 22 ]. However, the advantages of minimally invasive approaches, regardless of the surgical procedure performed, are well known.…”

Section: Discussionmentioning

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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“…A laparoscopic catheter insertion with rectal sheath tunnelling was performed in the contralateral site. 4,5 The catheter worked properly during 1-year follow-up period.…”

Section: Case Reportmentioning

confidence: 98%

Enterocutaneous fistula due to a Richter’s hernia after a Tenckhoff catheter removal

Blitzkow¹

2023

Perit Dial Int

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Richter’s hernia is a rare type of hernia that occurs when the antimesenteric intestinal wall protrudes through a defect in the abdominal fascia leading to ischaemia, gangrene, bowel perforation and enterocutaneous fistulae. In this article, we describe a rare case of enterocutaneous fistula due to a Richter’s hernia after a Tenckhoff catheter removal. This type of complication has not been previously reported in the literature. An 82-year-old man presented with a 1-day history of enteric content at the Tenckhoff catheter insertion site. Seven weeks earlier, the catheter was removed due to peritonitis. Removal was performed using open technique, and the fascia was not closed. Computed tomography revealed a small incarcerated hernia and subcutaneous fluid collection at the previous catheter insertion site. He underwent laparoscopy, which showed a Richter’s hernia with perforation of the ileum causing an enterocutaneous fistula. A laparoscopic enterectomy was performed using a primary mechanical anastomosis. The hernia was repaired by primary suture without a mesh because of wound enteral contamination and the small size of the hernia. Richter’s hernia has a misleading clinical presentation and contributes to high rates of morbidity and mortality. A secure myofascial closure during catheter removal may reduce the chances of this complication.

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Laparoscopic Peritoneal Dialysis Catheter Placement With Rectus Sheath Tunneling: A One-Port Simplified Technique

Cited by 3 publications

References 27 publications

Laparoscopy-assisted peritoneal dialysis catheter placement using a modified minimally invasive approach: A retrospective observational study

Laparoscopy-assisted peritoneal dialysis catheter placement using a modified minimally invasive approach: A retrospective observational study

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

Enterocutaneous fistula due to a Richter’s hernia after a Tenckhoff catheter removal

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