The Outcomes of Percutaneous Versus Open Placement of Peritoneal Dialysis Catheters

Park, Young Suk; Min, Sang Il; Kim, Yon Su; Oh, Kook‐Hwan; Min, Seung-Kee; Kim, Suh Min; Ha, Jong‐Won

doi:10.1007/s00268-013-2346-5

Cited by 27 publications

(47 citation statements)

References 37 publications

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“…Although none of the patients in our study received antibiotics to prevent peritonitis, there were no such cases. In contrast, retrospective studies have reported incidences of 20.2% using blind percutaneous insertion and 27.1% using laparoscopy 20,21 . In some reports, incision and tunnel infection have occurred regardless of technique (surgical laparotomy, percutaneous puncture, or laparoscopic catheterization) 5,20,22 .…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, retrospective studies have reported incidences of 20.2% using blind percutaneous insertion and 27.1% using laparoscopy. 20,21 In some reports, incision and tunnel infection have occurred regardless of technique (surgical laparotomy, percutaneous puncture, or laparoscopic catheterization). 5,20,22 We believe that our new PD catheterization method has inherent advantages in this regard.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound‐guided percutaneous peritoneal dialysis catheter insertion using multifunctional bladder paracentesis trocar: A modified percutaneous PD catheter placement technique

Ding

Xue

2020

Seminars in Dialysis

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Background To evaluate the efficacy and safety of ultrasound‐guided percutaneous peritoneal dialysis catheter insertion using multifunctional bladder paracentesis trocar. Methods A retrospective review of 103 ESRD patients receiving percutaneous PD catheter insertion using a multifunctional bladder paracentesis trocar under ultrasound guidance at a single center between May 2016 and May 2018. Mechanical complications and catheter survival were evaluated over a 12‐month follow‐up. Result Catheterization using this technique required only 10‐30 minutes from the beginning of local anesthesia to the end of skin suture at the puncture site (mean 18 ± 7 minutes) and an incision length of 2‐4 cm. Moreover, only four of 103 cases required catheter removal due to poor drainage within one month after surgery, with a success rate of 96.19%. Among failures, omentum wrapping was cause in two cases, catheter displacement in one case, and protein clot blockage in one case, while there were no instances of organ injury, severe hemorrhage, peritubular leakage, hernia, peritonitis, or exit infection within one month of PD catheter insertion. Catheter survival at 1 year was 92.2%. Conclusion Percutaneous PD catheter insertion using a multifunctional bladder paracentesis trocar and ultrasound guidance is a feasible technique for ESRD patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ultrasound‐guided percutaneous peritoneal dialysis catheter insertion using multifunctional bladder paracentesis trocar: A modified percutaneous PD catheter placement technique

Ding

Xue

2020

Seminars in Dialysis

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“…[ 17 22 23 ] However, we suggest laparoscopic placement has lower peritonitis rate and less incidence of catheter migration due to the ability of direct vision of peritoneal cavity. Similarly, some authors[ 24 25 ] claim that placement modality catheter survival had no superiority on catheter survival, but some others[ 2 26 ] suggest that laparoscopic placement had higher catheter survival.…”

Section: Discussionmentioning

confidence: 99%

Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years

et al. 2016

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INTRODUCTION:The aim of this study was to evaluate patients with end stage renal failure (ESRD) who underwent chronic peritoneal dialysis (CPD). The clinical outcomes of laparoscopic and open placements of catheters were compared.MATERIALS AND METHODS:We reviewed 49 (18 male and 31 female) children with CPD according to age, sex, cause of ESRD, catheter insertion method, kt/V rate, complications, presence of peritonitis, catheter survival rate between January 2002 and February 2014.RESULTS:Thirty-three patients were with open placement and 16 patients were with laparoscopic placement. The rate of the peritonitis is significantly less in patients with laparoscopic access than open access (n = 4 vs n = 25) (P <0.01). Patients with peritonitis were younger than those who had no attack of peritonitis (10.95 ± 0.8 years vs 13.4 ± 0.85 years). According to the development of complications, significant difference has not been found between the open (n = 9) and laparoscopic (n = 3) approaches except the peritonitis. Catheter survival rate for the first year was 95%, and for five years was 87.5%. There was no difference between open and laparoscopic group according to catheter survival rate. The mean kt/V which indicates the effectiveness of peritoneal dialysis was mean 2.26 ± 0.08. No difference was found between laparoscopic and open methods according to kt/V.CONCLUSION:Laparoscopic placement of CPD results in lower peritonitis rate. Catheter survival rate was excellent in both groups. Single port laparoscopic access for CPD catheter insertion is an effective and safe method.

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“…Other contraindications to percutaneous catheter insertion include previous open abdominal surgery other than appendectomy or cesarean section, a bleeding tendency, and preexisting hernia requiring simultaneous repair [18]. In a recent review, it was shown that catheter survival was unaffected by placement modality (i.e., percutaneous vs. open) [26]. However, early mechanical complications, including technical failures, are more likely to occur with the percutaneous Seldinger technique [26].…”

Section: Percutaneous Techniquementioning

confidence: 99%

“…In a recent review, it was shown that catheter survival was unaffected by placement modality (i.e., percutaneous vs. open) [26]. However, early mechanical complications, including technical failures, are more likely to occur with the percutaneous Seldinger technique [26].…”

Section: Percutaneous Techniquementioning

confidence: 99%

Peritoneal Dialysis Catheters

Obinwa¹,

McLoughlin²,

Kavanagh³

et al. 2016

Some Special Problems in Peritoneal Dialysis

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In peritoneal dialysis, a well-functioning catheter is of great importance because a dysfunctional catheter may be associated with exit-site infection, peritonitis, reduced efficiency of dialysis, and overall quality of treatment, representing one of the main barriers to optimal use of peritoneal dialysis. This chapter reviews the literature on indications and contraindications for peritoneal dialysis, peritoneal dialysis catheter design and materials, the techniques of insertion, complications, and method of removal of dialysis catheters.

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The Outcomes of Percutaneous Versus Open Placement of Peritoneal Dialysis Catheters

Cited by 27 publications

References 37 publications

Ultrasound‐guided percutaneous peritoneal dialysis catheter insertion using multifunctional bladder paracentesis trocar: A modified percutaneous PD catheter placement technique

Ultrasound‐guided percutaneous peritoneal dialysis catheter insertion using multifunctional bladder paracentesis trocar: A modified percutaneous PD catheter placement technique

Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years

Peritoneal Dialysis Catheters

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