Laparoscopic implantation of Oreopoulos-Zellermann catheters for peritoneal dialysis.
For the implantation of continuous ambulatory peritoneal dialysis (CAPD) catheters, both the laparoscopic technique and the use of an Oreopoulos-Zellermann catheter have been suggested to be preferable to the open technique using Tenckhoff catheters. Building on advantages of known techniques, we here describe a procedure for the laparoscopic implantation of the Oreopoulos-Zellermann catheter. The procedure is quick, efficient and unstressful to the patient. After nearly 10,000 patient-days of catheter use, we find positive results with regard to permanently good inlet and outlet flows, low incidence of exit site infections and leaks from the catheter tunnel.
Krug
F
F
Department of Surgery, Medical University of Lübeck, Germany.
Herold
A
A
Jochims
H
H
Bruch
H P
HP
D000328:Adult; D000368:Aged; D002408:Catheters, Indwelling; D005858:Germany; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010537:Peritoneum / Q000601:surgery*