Clinical application of one-port laparoscopic placement of peritoneal dialysis catheters.
OBJECTIVE
Laparoscopic techniques for placement of peritoneal dialysis catheters are becoming increasingly popular. This study describes an one-port laparoscopic technique for insertion of peritoneal dialysis catheters.


METHODS
Eighteen consecutive chronic renal failure patients underwent laparoscopic placement of Swan-neck catheters. All patients were eligible to receive local infiltration anaesthesia and none had had a previous peritoneal catheter placed. Videoscopic monitoring was performed via a peel-away sheath through an incision near the umbilicus; a 16 Fr peel-away sheath was then inserted towards the bladder and rectum. A Swan-neck catheter was passed through the peel-away sheath into the true pelvis. A subcutaneous tunnel was created and a point in left lower quadrant was selected as the exit site of the catheter.


RESULTS
All the catheters were successfully placed and the mean time of operation was 26.5 min (range 14-35 min). The patients were discharged 2-4 days following the operation. During a mean follow-up period of 10.6 months (range 6-18 months), there were no catheter-related complications, such as catheter migration, dialysate leakage, exit-site infection and bacterial peritonitis.


CONCLUSIONS
One-port laparoscopic technique is a simple, safe and effective method for placement of peritoneal dialysis catheters.
Department of Urology, Affiliated Drum Tower Hospital, Nanjing University, Nanjing, China.
Xiang
X
Yan
Wei
W
Zhu
Chun-Ming
CM
Jiang
Hai-Feng
HF
Huang
Miao
M
Zhang
Hong-Qian
HQ
Guo
D000328:Adult; D000368:Aged; D002404:Catheterization / Q000379:methods*; D003404:Creatinine / Q000097:blood; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010530:Peritoneal Dialysis
D003404:Creatinine