Laparoscopy for continuous ambulatory peritoneal dialysis catheter placement and management of malfunctioning peritoneal dialysis catheter

Maheshwari, Pankaj N

doi:10.4103/jmas.jmas_251_17

Cited by 1 publication

(2 citation statements)

References 10 publications

(10 reference statements)

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“…With the development of minimally invasive surgery, the laparoscopic insertion of PD catheters is gaining popularity worldwide. 6 One of the advantages is the possibility of diagnostic laparoscopy which is performed to evaluate the abdominal cavity for possible pathologies that can be resolved prior to catheter insertion. Special attention is made to the pelvic region, where the catheter tip will be placed under direct vision.…”

Section: Discussionmentioning

confidence: 99%

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Minimally invasive peritoneal dialysis catheter insertions with concomitant cholecystectomy or hernioplasty: Surgical technique and our experiences

Janež

Škapin

2021

J Vasc Access

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Introduction: Peritoneal dialysis is a well-accepted replacement therapy in patients with end-stage renal disease. There are many different options adopted on how to insert a peritoneal dialysis catheter. In our institution, a laparoscopic insertion has become the method of choice for providing peritoneal dialysis access in adult patients. The aim of this study was to analyze surgical outcomes of patients after laparoscopically assisted placement of a PD catheter some of them after concomitant cholecystectomy or hernioplasty. Methods: We have evaluated 70 consecutive patients from 1st of October 2015 to 30th of April 2020 who underwent laparoscopic insertion of a peritoneal dialysis catheter. Demographic data, details about surgery and about peri- and postoperative complications were gathered. Results: Out of 70 enrolled patients, 15 had gallstones (21%) and underwent concomitant laparoscopic cholecystectomy. Three patients (4%) had abdominal wall hernia and underwent concomitant hernioplasty. We observed no perioperative complications connected with any of the performed procedures. There was one early postoperative complication: an early leak of dialysate fluid. Late complications were observed in nine patients (13%): mechanical catheter problems (two patients), peritonitis (three patients), skin exit-site infections (two patients), peri-catheter leak (one patient), and port-site hernia (one patient). Conclusions: For all patients with concomitant gallbladder disease or abdominal wall hernias we suggest to perform synchronous surgeries, due to finding no more complications after concomitant procedures in comparison to patients in whom only a PD catheter was inserted. Concomitant procedures are done to spare patients two separate procedures and to avoid possible complications. We also suggest using the cholecystectomy first, PD catheter insertion second approach for having excellent peri- and postoperative results.

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Section: Discussionmentioning

confidence: 99%

“…Maheshwari 6 recommend routine omentopexy, especially when the omentum is long enough to reach the catheter in its final position . Omentopexy is preferred over omentectomy because it is quicker and does not carry the same risk of postoperative hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive peritoneal dialysis catheter insertions with concomitant cholecystectomy or hernioplasty: Surgical technique and our experiences

Janež

Škapin

2021

J Vasc Access

View full text Add to dashboard Cite

show abstract

Laparoscopy for continuous ambulatory peritoneal dialysis catheter placement and management of malfunctioning peritoneal dialysis catheter

Cited by 1 publication

References 10 publications

Minimally invasive peritoneal dialysis catheter insertions with concomitant cholecystectomy or hernioplasty: Surgical technique and our experiences

Minimally invasive peritoneal dialysis catheter insertions with concomitant cholecystectomy or hernioplasty: Surgical technique and our experiences

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