Laparoscopic peritoneal dialysis catheter insertion using a Quinton percutaneous insertion kit.
OBJECTIVE
We assessed a unique technique of laparoscopic peritoneal dialysis (PD) catheter insertion which can minimize catheter dysfunction.


METHODS
We performed a retrospective review of patients undergoing laparoscopic PD catheter placement with a Quinton percutaneous insertion kit between July 2000 and December 2004.


RESULTS
Thirty-one catheters were placed laparoscopically. The mean operating time was 52 minutes. Adhesiolysis was required in 9 (29%) and omentectomy or omentopexy in 3 (10%) cases. Late complications included catheter dysfunction in 2 patients (6.5%), debilitating abdominal pain requiring catheter removal in 1 patient, and 1 trocar-site hernia. The mean follow-up was 17 months.


CONCLUSIONS
Laparoscopic PD catheter insertion using a Quinton percutaneous insertion kit is safe, reproducible, and effective. It facilitates placement of the catheter tip into the pelvis and allows adhesiolysis, omentectomy, or omentopexy when necessary. Utilization of this technique results in a low rate of PD catheter dysfunction.
Haggerty
Stephen P
SP
Department of Surgery, Evanston Northwestern Healthcare, Evanston, Illinois, USA. haggertys@ameritech.net
Zeni
Tallal M
TM
Carder
Mike
M
Frantzides
Constantine T
CT
D000005:Abdomen; D015746:Abdominal Pain / Q000517:prevention & control; D000328:Adult; D000368:Aged; D002406:Catheterization, Peripheral / Q000295:instrumentation*; D002408:Catheters, Indwelling; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000295:instrumentation*; D012189:Retrospective Studies