Technique for laparoscopy-assisted complicated peritoneal dialysis catheter placement.
Peritoneal dialysis is widely accepted for the chronic management of end-stage renal disease. Especially in patients suspected of having intra-abdominal adhesions, the application of laparoscopic surgical techniques has significantly changed our surgical approach to dialysis catheter placement. The blind placement of peritoneal dialysis catheters in this patient group can be both dangerous, because of the higher risk of bowel injuries, and unsuccessful, because of immediate catheter misplacement or entrapment. We describe a relatively simple step-by-step approach to laparoscopy-assisted peritoneal dialysis catheter placement with omentectomy in these more complicated cases.
Barone
Gary W
GW
Department of Surgery, University of Arkansas for Medical Sciences, Little Rock 72205, USA. Baronegary@uams.edu
Lightfoot
Meredith L
ML
Ketel
Beverley L
BL
D002408:Catheters, Indwelling; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D010530:Peritoneal Dialysis / Q000295:instrumentation*