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VOLUME 5 , ISSUE 3 ( September-December, 2012 ) > List of Articles

REVIEW ARTICLE

Two Port Laparoscopic Placement of Peritoneal Dialysis Catheter: Effective Technique

Najeeb H Mir

Citation Information : Mir NH. Two Port Laparoscopic Placement of Peritoneal Dialysis Catheter: Effective Technique. World J Lap Surg 2012; 5 (3):146-149.

DOI: 10.5005/jp-journals-10033-1169

Published Online: 01-12-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

Two port laparoscopic placement of peritoneal dialysis (PD) catheter is a new and promising technique which is reliable, efficient and with less complications.

Materials and methods

Data collection was done using the internet via Google search engine, Medscape, PubMed, SAGES, Springer, NCBI, Nefrolgia and International journal of peritoneal dialysis. At least five study groups were analyzed who used two ports laparoscopy for PD catheter placement from 2004 to 2010.

Results

Mean operating time was between 32 and 52 minutes. No other technical intra or early postoperative complications related to technique were reported. Surgical revision was required in 6%, catheter survival was 94, 87 and 72% after 6 months, 1 and 2 years survival, catheter leakage was between 0 and 22.2%, catheter outflow failure was between 0 and 7.6%, catheter migration was between 2.6 and 4%, no life-threatening bleeding was noted, peritonitis was between 6.5 and 13% and exit site infection was seen in 3% of the patients. Mean follow-up was between 17 months and 2 years.

Conclusion

Two port laparoscopic PD catheter insertion is a safe, reproducible, and effective technique. It allows inspection of the abdominal cavity and adhesiolysis, omentectomy, or omentopexy when necessary. Due to its reliability, offers good catheter function outcome.

How to cite this article

Mir NH. Two Port Laparoscopic Placement of Peritoneal Dialysis Catheter: Effective Technique. World J Lap Surg 2012;5(3):146-149.


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