A new laparoscopic technique for the placement of a permanent peritoneal dialysis catheter - The preperitoneal tunneling method

Background: Mechanical outflow obstruction and leakage from the exit site of the catheter are two common complications of continuous ambulatory peritoneal dialysis. To lessen these complications and to achieve immediate use of the catheter, we developed a new laparoscopic technique for catheter placement. Methods: A total of 12 consecutive patients with end-stage renal failure were included in this study between April 2003 and July 2003. The average age of the patients was 42.4 years (range, 37-72). Patients were excluded only if a serious risk for general anesthesia was found. Using two 5-mm ports and a 3.3-mm mini-laparoscope, a peritoneal dialysis catheter was passed through a preperitoneal tunnel before the tip of the catheter was introduced into the pelvis. Routine peritoneal dialysis was started immediately after the operation while the patients were still in the operating room. Results: The mean operating time was 18.6 min (range, 12-37). There was no operative morbidity. The mean follow-up period was 4.3 months (range, 3-7). No leakage of the dialysate liquid or outflow obstruction was observed during this period. Conclusion: The advantages of this method include accurate placement, preperitoneal fixation, and immediate use of the catheter for routine peritoneal dialysis. We also believe that because of the preperitoneal fixation of the catheter, this technique will decrease outflow obstruction, which usually occurs due to omental wrapping or displacement of the catheter tip.

Dergi Adı SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
Dergi Cilt Bilgisi 19
Dergi Sayısı 2
Sayfalar 245 - 248
Yayın Yılı 2005
Eser Adı
[dc.title]
A new laparoscopic technique for the placement of a permanent peritoneal dialysis catheter - The preperitoneal tunneling method
Yazar
[dc.contributor.author]
Comert, M
Yazar
[dc.contributor.author]
Borazan, A
Yazar
[dc.contributor.author]
Kulah, E
Yazar
[dc.contributor.author]
Ucan, BH
Yayın Yılı
[dc.date.issued]
2005
Yayıncı
[dc.publisher]
SPRINGER
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Background: Mechanical outflow obstruction and leakage from the exit site of the catheter are two common complications of continuous ambulatory peritoneal dialysis. To lessen these complications and to achieve immediate use of the catheter, we developed a new laparoscopic technique for catheter placement. Methods: A total of 12 consecutive patients with end-stage renal failure were included in this study between April 2003 and July 2003. The average age of the patients was 42.4 years (range, 37-72). Patients were excluded only if a serious risk for general anesthesia was found. Using two 5-mm ports and a 3.3-mm mini-laparoscope, a peritoneal dialysis catheter was passed through a preperitoneal tunnel before the tip of the catheter was introduced into the pelvis. Routine peritoneal dialysis was started immediately after the operation while the patients were still in the operating room. Results: The mean operating time was 18.6 min (range, 12-37). There was no operative morbidity. The mean follow-up period was 4.3 months (range, 3-7). No leakage of the dialysate liquid or outflow obstruction was observed during this period. Conclusion: The advantages of this method include accurate placement, preperitoneal fixation, and immediate use of the catheter for routine peritoneal dialysis. We also believe that because of the preperitoneal fixation of the catheter, this technique will decrease outflow obstruction, which usually occurs due to omental wrapping or displacement of the catheter tip.
Açıklama
[dc.description]
WOS: 000227332900014
Açıklama
[dc.description]
PubMed: 15529192
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
continuous ambulatory peritoneal dialysis
Konu Başlıkları
[dc.subject]
laparoscopy
Konu Başlıkları
[dc.subject]
Tenckhoff catheter
Konu Başlıkları
[dc.subject]
renal disease
Konu Başlıkları
[dc.subject]
kidney
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0930-2794
İlk Sayfa Sayısı
[dc.identifier.startpage]
245
Son Sayfa Sayısı
[dc.identifier.endpage]
248
Dergi Adı
[dc.relation.journal]
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
Dergi Sayısı
[dc.identifier.issue]
2
Dergi Cilt Bilgisi
[dc.identifier.volume]
19
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s00464-003-9302-7
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/1963
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
9
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
27 Aralık 2023 01:22
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Tıklayınız
catheter peritoneal dialysis preperitoneal obstruction (range patients outflow fixation technique placement period complications operating leakage immediate pelvis morbidity operative Routine started immediately Results 12-37) operation Background follow-up displacement wrapping omental occurs usually decrease because believe
6698 sayılı Kişisel Verilerin Korunması Kanunu kapsamında yükümlülüklerimiz ve çerez politikamız hakkında bilgi sahibi olmak için alttaki bağlantıyı kullanabilirsiniz.

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