Laparoscopically assisted insertion of peritoneal dialysis catheter

Janež, Jurij

doi:10.4103/jmas.jmas_196_17

Cited by 6 publications

(14 citation statements)

References 6 publications

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“…A study by Chou et al, 2019, also showed increasing in the incidence of ESRD in elderly patients with CKD [36]. The laparoscope process shown a minimal invasive, more acceptable, and higher safety profile in addition to better outcome and less incidence of catheter obstruction and change in comparison with the open operation, accordingly, there is a universal orientation toward laparoscope PD operations [39], [40]. This reflects the large number of patients with laparoscope PD in the current study and clinicians preference of laparoscopic over open CAPD in the current study.…”

Section: Discussionmentioning

confidence: 97%

Spectrum of Complications of Patients with Chronic Kidney Disease on Maintenance Continuous Ambulatory Peritoneal Dialysis: An Experience of Tertiary Nephrology Center in Najaf City-Iraq

Noori

Hadi

Sharba

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: Chronic kidney disease (CKD), also called chronic kidney failure, is described as gradual loss of kidney function. CKD can progress to end-stage kidney failure, which is fatal without artificial filtering (dialysis) or kidney transplant. Peritoneal dialysis (PD) has a widespread renal replacement therapy with great acceptance because of simplicity, flexibility, and independence. AIM: The aim of this study was to evaluate the complications of continuous ambulatory PD (CAPD) in patients with CKD. METHODS: A cross-sectional study, involved 140 patients, aged between 18 and 80 years old and suffered from CKD under maintenance CAPD in the dialysis unit of the renal center. All data regarding the sociodemographic profile of the patient, vitals, etiological diagnosis, frequency and duration of dialysis, and dialysis-related complications were taken. RESULTS: In the current study, there is a significant difference in the distribution of complications among gender where the female patients had a higher incidence of both infectious and non-infectious complications. The study also reported that there is much lower rate of complications among patients on laparoscope operation in compared with the open operation. In addition, patients with open abdomen PD developed the complications earlier than those with laparoscope maintenance CAPD. CONCLUSION: Peritoneal infection is the most prevalent complication among the other complications in the current study. There is much lower rate of complications among patients on PD in compared with hemodialysis and on laparoscope in compared with the open operation.

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Section: Discussionmentioning

confidence: 97%

Spectrum of Complications of Patients with Chronic Kidney Disease on Maintenance Continuous Ambulatory Peritoneal Dialysis: An Experience of Tertiary Nephrology Center in Najaf City-Iraq

Noori

Hadi

Sharba

et al. 2021

Open Access Maced J Med Sci

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“…With the development of minimally invasive and laparoscopic surgery, laparoscopic PDC insertion is becoming widely accepted with minor complications and better outcomes [ 9 ]. Laparoscopic PDC insertion techniques can be divided into basic laparoscopic techniques and advanced laparoscopic techniques.…”

Section: Discussionmentioning

confidence: 99%

Modified minimally invasive laparoscopic peritoneal dialysis catheter insertion with internal fixation

Gao

Zheng

et al. 2023

Renal Failure

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Background Laparoscopic technique is widely used in peritoneal dialysis (PD) catheter placement. We developed a modified minimally invasive laparoscopic PD catheter (PDC) insertion with internal fixation and evaluated the early results by observing the intraoperative and postoperative conditions of the novel technique with those of conventional open surgery. Methods Retrospective research was performed on 59 patients who underwent PDC insertion from June 2019 to January 2022, including 23 patients who received open surgery and 36 patients who received modified minimally invasive laparoscopic surgery. Information such as preoperative conditions, operation time, incision length, incidence of intraoperative complications, time from operation to starting PD, time from operation to discharge, and incidence of catheter-related complications were collected and analyzed. Results The incision length, intraoperative blood loss, catheter migration rates and the total incidence of complications 6 months after operation in the laparoscopic group were lower than those in the conventional group. There were no statistically significant differences between the two groups in operation time, time from operation to starting PD, time from operation to discharge and the incidence of catheter blockage, leakage, exit-site infection, peritoneal dialysis associated peritonitis and hernia. Conclusions Modified minimally invasive laparoscopic PDC insertion and internal fixation method achieved direct vision and reliable fixation of the catheter, significantly reduced incision length and blood loss. The incidence of catheter migration was significantly lower than that of open surgery. Our primary findings reveal that modified minimally invasive laparoscopic PDC insertion with internal fixation is safe, effective and beneficial for PD patients.

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“…In our experience we have used soft silicone catheters, with a multi-hole pig-tail distal end to be placed in the Douglas cul-de-sac and a proximal end with two Dacron® cuffs one of which is placed in the preperitoneal space and the other in the subcutaneous space. (1)(2)(3)(4)(5) We placed the catheter on the right side of the abdomen to accommodate the peristalsis; the peristalsis results in clockwise movement of the ileal loops so a left-sided catheter could be easily displaced…”

Section: Surgical Techniquementioning

confidence: 99%

“…Patients are discharged safely on the rst postoperative day. (1)(2)(3)(4)(5)(6)(7) The nephrologist is responsible for catheter management and break-in to peritoneal dialysis.…”

Section: Surgical Techniquementioning

confidence: 99%

The Peritoneal Tie Technique: Our Laparoscopic Catheter Placement for Peritoneal Dialysis

Oliva,

Carmen,

Gianluigi

et al. 2024

Preprint

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Background Peritoneal dialysis (PD) is a safe and effective replacement therapy for patients with terminal stage renal disease, alternative to hemodialysis. However, its success depends on the placement of a peritoneal catheter with a safe, functional and durable access. Currently, several techniques are put into practice for peritoneal catheter placement. Methods We present a detailed stepwise description of our operative technique for PD catheter placement. This description is combined with intraoperative photographs to highlight key steps. Results we describes potential pitfalls that may prevent optimal catheter function and We report our results in the medium and short term Conclusion This technique performe safely and standardized reproducible method for minimally invasive placement of peritoneal dialysis catheters,

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Laparoscopically assisted insertion of peritoneal dialysis catheter

Cited by 6 publications

References 6 publications

Spectrum of Complications of Patients with Chronic Kidney Disease on Maintenance Continuous Ambulatory Peritoneal Dialysis: An Experience of Tertiary Nephrology Center in Najaf City-Iraq

Spectrum of Complications of Patients with Chronic Kidney Disease on Maintenance Continuous Ambulatory Peritoneal Dialysis: An Experience of Tertiary Nephrology Center in Najaf City-Iraq

Modified minimally invasive laparoscopic peritoneal dialysis catheter insertion with internal fixation

The Peritoneal Tie Technique: Our Laparoscopic Catheter Placement for Peritoneal Dialysis

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