SAGES guidelines for laparoscopic peritoneal dialysis access surgery

Crabtree, John H.

doi:10.1007/s00464-014-3812-3

Cited by 14 publications

(22 citation statements)

References 16 publications

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“…Patients were categorized based on the corresponding CPT codes for laparoscopic (49,324, introduced in 2007) and open (49,421, present in 2005) initial PDC placement, and data were collected. Additionally, concomitant procedures including omentectomy (49,255), open adhesiolysis (44,005), and laparoscopic adhesiolysis (44,180,58,660) were captured based on CPT codes.…”

Section: Data Sourcementioning

confidence: 99%

“…Within these guidelines, the advantages of laparoscopy to perform adhesiolysis, possible need for suture fixation of catheter tip to prevent migration, rectus sheath tunneling, omentopexy as well as omentectomy are discussed. These guidelines were further modified to detail the stepwise process of rectus sheath tunneling and explanation of obviating the need for catheter tip suturing when correct orientation of the rectus sheath tunneling is done appropriately [44]. The true benefit of this operative approach extends beyond just catheter tip visualization; laparoscopy permits adjunct procedures that may allow for longer PDC survival compared to an open approach.…”

Section: Future Directionsmentioning

confidence: 99%

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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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Section: Data Sourcementioning

confidence: 99%

Section: Future Directionsmentioning

confidence: 99%

Laparoscopic versus open peritoneal dialysis catheter placement

et al. 2015

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“…The laparoscopic technique in PD catheter emplacement is gradually becoming preferred method for ESRD patients. Laparoscopic placement of PD catheter offers advantages such as minimal invasion, visualization of the peritoneal cavity, concomitant operation of omentectomy and adhesiolysis during the procedure 4 . Some reports have documented that this approach had benefits in decreasing operation time, lessening perioperative pain, and reducing catheter complications.…”

Section: Discussionmentioning

confidence: 99%

“…Since the early 1990s, laparoscopy has been applied in the insertion of PD catheters. A large number of reports showed that this technique has some advantages over other techniques because of direct vision, being assure of right position of the catheter, and reducing catheter complications 4 . However, the most of literatures about laparoscopic catheter emplacement were Occidental, and the surgical experience was mostly from Occidental patients 5 – 7 .…”

Section: Introductionmentioning

confidence: 99%

Peritoneal Dialysis Catheter Emplacement by Advanced Laparoscopy: 8-year Experience from a Medical Center of China

et al. 2017

Sci Rep

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Laparoscopic experience and relevant reports about PD catheter emplacement in Chinese patients are seldom. In this study, we described our experience with advanced laparoscopy for PD catheter implantation in Chinese patients. There were one hundred and thirty Chinese patients accepted advanced laparoscopic approach for PD catheter emplacement in this study. Six of 26 patients with prior abdominal operations had abdominal adhesion, while six of 104 patients without prior abdominal surgeries showed abdominal adhesion. Operation time required 10 to 180 minutes. During a mean follow-up time of 26.46 months, the catheter complications were shown as outflow obstruction (n = 6, 4.62%), pericatheter leaking (n = 3, 2.31%), hydrocele of tunica vaginalis (n = 1, 0.77% in all), and umbilical hernia (n = 2, 1.54%). Cumulative revision-free survival probability for catheter loss from mechanical complications at 8 years was 0.95. During the postoperative follow-up ranged between 6 and 106 months, 98 patients (75.38%) were still on CAPD, 17 patients (13.08%) died, 8 patients (6.15%) were transferred to hemodialysis, 6 patients (4.62%) received kidney transplantation, and 1 patient (0.77%) showed improved renal function. These results showed that PD catheter placement with advanced laparoscopy is a safe and effective approach in Chinese patients with or without prior abdominal surgeries.

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“…The patient should also be evaluated for any evidence of hernias and gallstones, because it is recommended according to Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) guidelines to correct any hernias or remove gallbladder prior or at the insertion of PD catheter. [56] The patient should be explained about catheter insertion procedure and informed about possible complications of the insertion procedure and the therapy. An enema is given 12 h before and on the morning of surgery.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopically assisted insertion of peritoneal dialysis catheter

Janež

2019

J Min Access Surg

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Peritoneal dialysis (PD) is a generally accepted method for treatment of patients with the end-stage renal disease. A larger proportion of PD patients transfer to haemodialysis every year than the converse. Many of the underlying causes of transfer to haemodialysis are preventable. Infectious complications still remain the most common reason for transfer of PD patients to haemodialysis, catheter-related problems are the second most common cause. For PD to be effective it is very important to provide a quality peritoneal access with the insertion of PD catheter with minimum complications. With the development of minimally invasive and laparoscopic surgery, laparoscopic insertion of PD catheter is becoming widely accepted method, which showed to be effective with minor complications. In our institution, laparoscopic insertion of PD catheter in adult patients is a standard method for providing peritoneal access for chronic peritoneal dialysis.

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SAGES guidelines for laparoscopic peritoneal dialysis access surgery

Cited by 14 publications

References 16 publications

Laparoscopic versus open peritoneal dialysis catheter placement

Laparoscopic versus open peritoneal dialysis catheter placement

Peritoneal Dialysis Catheter Emplacement by Advanced Laparoscopy: 8-year Experience from a Medical Center of China

Laparoscopically assisted insertion of peritoneal dialysis catheter

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