Laparoscopic Peritoneal Dialysis Catheter Implantation With an Intra-abdominal Fixation Technique

Ma, Junjun; Chen, Xueyu; Zang, Lu; Mao, Zhihai; Wang, Mingliang; Lu, Aiguo; Li, Jianwen; Feng, Bo; Dong, Feng; Zheng, Min

doi:10.1097/sle.0b013e31828fa6ae

Cited by 8 publications

(4 citation statements)

References 9 publications

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“…Early pioneers in laparoscopy applied peritoneoscopy as visualization through the percutaneous access site for salvage procedures; over time, laparoscopic salvage techniques for nonfunctioning catheters became more refined, allowing for PDC retrieval, adhesiolysis, catheter tip fixation, as well as omental manipulation, including omentectomy as necessary [5][6][7][8][9][10][11][12][13][14][15]. Initial placement of PDCs laparoscopically was first described in case series in 1990s [16][17][18][19][20][21][22][23]. Notably, Crabtree et al [24] published a series describing the feasibility and benefit of continuous visualization not available with the peritoneoscopic approach alone and with the added advantage of smaller incisions compared to the conventional open technique.…”

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confidence: 99%

Laparoscopic versus open peritoneal dialysis catheter placement

et al. 2015

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Using univariate analysis, there appears to be a benefit from LPDC placement. However, after controlling for confounding variables, the techniques appear to have equal outcomes. Surgeons should perform a LPDC or OPDC according to the approach with which they are most familiar. However, continued adoption, dispersal, and refinement of the laparoscopic approach may further optimize patient outcomes.

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confidence: 99%

Laparoscopic versus open peritoneal dialysis catheter placement

et al. 2015

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“…Through the computational simulation and mechanical analysis, we had ascertained the necessity of additional catheter fixation and also identified the appropriate fixation site . Actually, a large body of evidence from others has emphasized the need for additional catheter fixation to avoid migration . However, these methods of fixation are conducted by laparoscope or additional abdominal wall cut, that is either complex or traumatic.…”

Section: Discussionmentioning

confidence: 99%

Wang's Forceps‐Assisted Percutaneous Insertion and Fixation of Peritoneal Dialysis Catheter

Wang

Zhu

et al. 2018

Artificial Organs

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Percutaneous insertion of peritoneal dialysis catheters is theoretically most preferred by nephrologists because of the advantages of bedside performing, surgery independence, and minimal injury over other procedures of catheter placement such as open surgical dissection or laparoscopic operation. However, blindly placing catheters in the percutaneous procedure brings the risk of catheter malposition or bowel perforation; this largely retarded it's implementation. We had previously developed a novel technique termed "Wang's forceps-assisted catheter insertion and fixation," which had been successfully applied in the open surgical catheter insertion and displaced catheter reposition in our center. In this study, we further explored the possibility of applying the Wang's forceps in the procedure of percutaneous catheter insertion both in porcine model and patients with end stage renal disease (ESRD). A total of three miniature pigs successfully received percutaneous catheter insertion using Seldinger's technique with Wang's forceps assistance. The catheters were all placed in the right position and functioning well in dialysate drainage. This novel method of percutaneous catheter insertion was then performed on 20 ESRD patients. The procedure showed effective time-saving with the average operating time of 29.2 ± 3.53 min and was well tolerated by patients with minimal pain and injury. During a follow-up time of 6 months, no complications of catheter displacement, leakage, or blockade occurred. Our preliminary observation demonstrates that utilization of Wang's forceps in a percutaneous procedure conferred benefits of accurately placing and fixing catheters while preserving the merits of minimal invasion and simple performance.

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“…[19,20] However catheter migration is still a big problem in peritoneal dialysis catheter insertion and therefore in recent years catheter fixation to the abdominal wall have been developed to prevent this complication. [21][22][23] In various studies disadvantages of laparoscopic peritoenal dialysis catheter insertion was reported to be; long operative time, increased costs and risks due to need of general anesthesia. [24,25] Sedation, local anesthesia, general anesthesia and regional block have been the methods used during insertion.…”

Section: Discussionmentioning

confidence: 99%

Sedation anesthesia technique for the insertion of laparoscopic fixated peritoneal dialysis catheter using carbondioxide

Zumrutdal¹

2018

Laparosc Endosc Surg Sci

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Laparoscopic Peritoneal Dialysis Catheter Implantation With an Intra-abdominal Fixation Technique

Cited by 8 publications

References 9 publications

Laparoscopic versus open peritoneal dialysis catheter placement

Laparoscopic versus open peritoneal dialysis catheter placement

Wang's Forceps‐Assisted Percutaneous Insertion and Fixation of Peritoneal Dialysis Catheter

Sedation anesthesia technique for the insertion of laparoscopic fixated peritoneal dialysis catheter using carbondioxide

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