[Results of laparoscopic implantation of peritoneal catheters]].
The advantages of miniinvasive surgical techniques were proved in a number of surgical operations. In the submitted article the authors evaluate five years' experience with laparoscopic implantation of Tenckhoff's catheter for peritoneal dialysis. The authors implanted in 1995-1999 catheters by the laparoscopic route in 34 patients. The most frequent complication was early leak of the dialysate along the catheter (41%). After modification of the surgical technique early leak was observed in 11% of the patients. Escape of the catheter from the lesser pelvis was observed in 14.8% patients. The authors did not observe early infection of the tunnel along the catheter. It may be concluded that the laparoscopic technique of implantation of a peritoneal catheter was not associated with a higher incidence of complications than the laparotomy. The advantage of laparoscopic operation is earlier mobilisation and shorter hospitalization of the patient. Another advantage of this technique, tested by the authors, is the possibility of exact diagnosis possibly with an immediate single-stage plastic operation of hernias in the abdominal region.
I. chirurgická klinika 1. LF UK a VFN Praha.
R
R
Gürlich
V
V
Bednárová
J
J
Hubík
S
S
Sulková
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000009:adverse effects / Q000379:methods*; D002408:Catheters, Indwelling / Q000009:adverse effects; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010529:Peritoneal Cavity; D010530:Peritoneal Dialysis