World Journal of Laparoscopic Surgery

Register      Login

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: 01-08-2015

Copyright Statement:  Copyright © 2012; The Author(s).


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.


PDF Share
  1. The early history of dialysis for chronic renal failure in the United States: A view from Seattle. Am J Kidney Dis 2007 Mar;49(3):482-96.
  2. Experience with maintenance peritoneal dialysis in the home. Trans Am Soc Artif Intern Organs 1970;16:90-95.
  3. A two port laparoscopic placement of peritoneal dialysis catheter: A Preliminary Report. Saudi J Kidney Dis Transpl 2004 Apr-Jun;15(2):144-48.
  4. Laparoscopic peritoneal dialysis catheter insertion using a Quinton percutaneous insertion kit. JSLS 2007 Apr-Jun;11(2):208-14.
  5. Extended peritoneal dialysis catheters for upper abdominal wall exit sites. Perit Dial Int 2004 May-June;24(3):292-94.
  6. Peritoneal dialysis catheter placement technique and complications. Nephrol Dialysis Transplant Plus 2008;1(suppl 4):23-28.
  7. Laparoscopic placement of peritoneal dialysis catheter: Description and results of a two port technique. Nefrologia 2010;30(3):354-59.
  8. Two port laparoscopic placement of a peritoneal dialysis catheter with abdominal wall fixation. Surgery Today 2009;39(4):356-58.
  9. A simple and soft technique for continuous ambulatory peritoneal dialysis (CAPD). Trans Am Soc Artif Intern Organs 1978;24:484-89.
  10. Initial survival advantage of peritoneal dialysis relative to haemodialysis. Nephrol Dial Transpl 2002;17:112-17.
  11. Mortality risks of peritoneal dialysis and hemodialysis. Am J Kidney Dis 1999;34:1065-74.
  12. Laparoscopic placement of the Tenckhoff catheter for peritoneal dialysis. Surg Laparosc Endosc Percutan Tech 2000;10:218-21.
  13. A new laparoscopic technique for the placement of a permanent peritoneal dialysis catheter: The preperitoneal tunneling method. Surg Endosc 2005;19:245-48.
  14. A laparoscopic method for optimal peritoneal dialysis access. Am Surg 2005;71:135-43.
  15. Improved results with a paramedian technique for the insertion of peritoneal dialysis catheters. Surg Gynecol Obstet 1985;161:585-87.
  16. Risk factor for conversion of laparoscopic cholecystectomy to open cholecystectomy. Surg Endosc 2005;19:905-09.
  17. A comparison of laparoscopically assisted and open colectomy of colon cancer. N Eng J Med 2004;350:2050-59.
  18. Comparison for four techniques of catheters insertion in patients undergoing continuous ambulatory peritoneal dialysis. Eur J Surg 1995;161:401-04.
  19. Modification of the percutaneous approach to peritoneal dialysis catheter placement under peritoneoscopic visualization: Clinical results in 78 patients. J Am Soc Nephrol 1992;3:103-07.
  20. Surgical management of peritoneal dialysis catheters in children: Five year experience with 1800 patient-month follow-up. J Pediatr Surg 1986;21:1177-81.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.