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Comparison of open and laparoscopic secure placement of peritoneal dialysis catheters

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Abstract

Background

A major and frustrating complication of peritoneal dialysis catheter placement is mechanical outflow obstruction, which may be caused by catheter tip migration. Therefore, a secure and correct positioning of the catheter is important to minimize this risk. This technique is easily accomplished by a laparoscopic approach.

Methods

The outcomes of 50 patients in whom peritoneal dialysis catheters were inserted laparoscopically with a secure catheter placement technique were compared with those of 52 patients who underwent an open surgical technique using a stiff wire as guidance for the catheter. The data were prospectively collected but not randomized. All the patients had virgin abdomens, and all the procedures were undertaken or supervised by one surgeon.

Results

Catheter migration occurred in six patients (12%) in the open group, as compared with none in the laparoscopic group (p = 0.027). There were no significant differences in catheter survival between the two groups.

Conclusions

The laparoscopic technique with secure placement of the catheter lowered the incidence of catheter migration, but did not increase the catheter survival.

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References

  1. C Beyerlein-Bucher FW Albert (1991) ArticleTitleEndoscopic peritoneal dialysis catheter placement Contrib Nephrol 89 28–30 Occurrence Handle1832630

    PubMed  Google Scholar 

  2. JH Crabtree A Fishman (1999) ArticleTitleLaparoscopic omentectomy for peritoneal dialysis catheter flow obstruction: a case report and review of the literature Surg Laparosc Endosc Percutan Tech 9 228–233 Occurrence Handle10.1097/00019509-199906000-00018 Occurrence Handle1:STN:280:DC%2BD3c3mtFWmtg%3D%3D

    Article  CAS  Google Scholar 

  3. JH Crabtree A Fishman (1999) ArticleTitleVideolaparoscopic implantation of long-term peritoneal dialysis catheters Surg Endosc 13 186–190 Occurrence Handle10.1007/s004649900936 Occurrence Handle1:STN:280:DyaK1M7hslCqsA%3D%3D Occurrence Handle9918628

    Article  CAS  PubMed  Google Scholar 

  4. MAV Garcia MAG Urena F Carnero EF Ruiz CR Rodriguez PA Perez-de-Lastra (1997) ArticleTitleOmental entrapping of the peritoneal dialysis catheter solved by a laparoscopic approach Perit Dial Int 17 194–195 Occurrence Handle9159842

    PubMed  Google Scholar 

  5. M Giannattasio P Maio ParticleDe R La Rosa A Balestrazzi (1996) ArticleTitleVideolaparoscopy: a new alternative for implantation of peritoneal catheters in ESRD patients with previous abdominal surgeries Perit Dial Int 16 96–97 Occurrence Handle1:STN:280:BymB3cvmsFw%3D Occurrence Handle8616188

    CAS  PubMed  Google Scholar 

  6. TL Hwang MF Chen CH Wu MO Leu CC Huang (1995) ArticleTitleComparison of four techniques of catheter insertion in patients undergoing continuous ambulatory peritoneal dialysis Eur J Surg 161 401–404 Occurrence Handle1:STN:280:BymD3M3mt1c%3D Occurrence Handle7548375

    CAS  PubMed  Google Scholar 

  7. KYY Kok KK Tan SKS Yapp (1999) ArticleTitleA two-port technique of laparoscopic placement of Tenchkoff catheter with a means to prevent catheter migration Surg Endosc 13 1057–1058 Occurrence Handle10.1007/s004649901171 Occurrence Handle1:STN:280:DyaK1MvlslGgtQ%3D%3D Occurrence Handle10526051

    Article  CAS  PubMed  Google Scholar 

  8. CT Lu DI Watson TJ Ellias RJ Faull AR Clarkson KM Bannister (2003) ArticleTitleLaparoscopic placement of peritoneal dialysis catheters: 7 years experience ANZ J Surg 73 109–111 Occurrence Handle12608971

    PubMed  Google Scholar 

  9. PK Neilsen C Hemmingsen SU Friis J Ladefoged K Olgaard (1995) ArticleTitleComparison of straight and curled Tenckhoff peritoneal dialysis catheter implanted by percutaneous technique: a prospective randomized study Perit Dial Int 15 18–21 Occurrence Handle7734555

    PubMed  Google Scholar 

  10. PHA Nijhuis JF Smulders JJ Jakimowicz (1996) ArticleTitleLaparoscopic introduction of a continuous ambulatory peritoneal dialysis (CAPD) catheter by a two-puncture technique Surg Endosc 10 676–679 Occurrence Handle10.1007/s004649900129 Occurrence Handle1:STN:280:BymB2s%2FitlM%3D Occurrence Handle8662414

    Article  CAS  PubMed  Google Scholar 

  11. RJ Robinson SB Leapman GM Wetherington RJ Hamburger NS Fineberg RS Filo (1984) ArticleTitleSurgical considerations of continuous ambulatory peritoneal dialysis Surgery 96 723–772 Occurrence Handle6385317

    PubMed  Google Scholar 

  12. EC Tsimoyiannis P Siakas G Glantzounis C Toli G Sferopoulos M Pappas A Manataki (2000) ArticleTitleLaparoscopic placement of the Tenckhoff catheter for peritoneal dialysis Surg Laparosc Endosc Percutan Tech 10 218–221 Occurrence Handle10.1097/00019509-200008000-00007 Occurrence Handle10961749

    Article  PubMed  Google Scholar 

  13. JY Wang JS Hsieh FM Chen CH Chuan HM Chan TJ Huang (1999) ArticleTitleSecure placement of continuous ambulatory peritoneal dialysis catheters under laparoscopic assistance Am Surg 65 247–249

    Google Scholar 

  14. DI Watson D Paterson K Bannister (1996) ArticleTitleSecure placement of peritoneal dialysis catheters using a laparoscopic technique Surg Laparosc Endosc 6 35–37 Occurrence Handle10.1097/00019509-199602000-00009 Occurrence Handle1:STN:280:BymH3cvivVQ%3D Occurrence Handle8808558

    Article  CAS  PubMed  Google Scholar 

  15. MJ Wright K Bel’eed BF Johnson DW Eadington L Sellars MJ Farr (1999) ArticleTitleRandomized prospective comparison of laparoscopic and open peritoneal dialysis catheter insertion Perit Dial Int 19 372–375 Occurrence Handle1:STN:280:DyaK1MvjsFKktQ%3D%3D Occurrence Handle10507820

    CAS  PubMed  Google Scholar 

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Correspondence to P. Soontrapornchai.

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Soontrapornchai, P., Simapatanapong, T. Comparison of open and laparoscopic secure placement of peritoneal dialysis catheters. Surg Endosc 19, 137–139 (2005). https://doi.org/10.1007/s00464-004-8156-y

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  • DOI: https://doi.org/10.1007/s00464-004-8156-y

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