A new simplified one port laparoscopic technique of peritoneal dialysis catheter placement with intra-abdominal fixation - 17/08/11
, Christos S. Katsios, M.D. a, Elli L. Koliousi, M.D. b, Margarita G. Ikonomou b, Konstantinos C. Siamopoulos, M.D. b, Michalis Fatouros, M.D. a, Angelos M. Kappas, M.D. a
Corresponding author. Tel.: +302651099704; fax: +302651099768.Abstract |
Background |
Various laparoscopic techniques have been described for the insertion of peritoneal dialysis catheters. However, most use 3 to 4 ports, thus multiplying the potential risk for abdominal wall complications (hemorrhage, hernia, leaking).
Methods |
A Tenckhoff catheter was placed laparoscopically, using just 1 port, in 13 consecutive patients with end-stage renal failure. All catheters were fixed in the abdominal cavity with no additional ports for this purpose.
Results |
After a follow-up of 76 patient-months, all catheters are working properly. There were no postoperative wall hemorrhages, early leaking, or hernias. There was 1 case of catheter migration and 2 cases of late leaking in 2 patients in total, due to severe constipation. There were no exit site or tunnel infections. One episode of peritonitis was successfully treated with antibiotics.
Conclusion |
The simplicity and the rapidity of the method justifies serious consideration for its use as the standard Tenckhoff catheter placement.
Le texte complet de cet article est disponible en PDF.Keywords : Laparoscopy, Tenckhoff catheter insertion techniques
Plan
Vol 192 - N° 1
P. 125-129 - juillet 2006 Retour au numéro
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