title: The ureteroscope-assisted "Mini-Perc" technique of placement of peritoneal dialysis catheters with a 16-Fr Peel-Away sheath: 3-year results in 47 patients.
abstract: OBJECTIVE
  This study was undertaken to evaluate the clinical feasibility, safety and effect of the ureteroscope-assisted "Mini-Perc" technique with a 16-Fr Peel-Away sheath for insertion of peritoneal dialysis catheters in end-stage renal disease (ESRD) patients.
  
  
  METHODS
  47 consecutive ESRD patients underwent ureteroscope-assisted placement of peritoneal dialysis catheters via a 16-Fr Peel-Away sheath. Informed consent form was signed by patients under principle of voluntary.
  
  
  RESULTS
  The mean duration of the operation was 40 min (range, 21-75 min). Seven patients (14.9 %) experienced mechanical complications: catheter tip migration in 1 patient (2.1 %), slightly bloody ascites in 4 patients (8.5 %) and catheter-related peritonitis in 2 patients (4.3 %). Two catheters (4.3 %) were removed after renal transplantation. One patient (2.1 %) died from heart failure. One catheter (2.1 %) was explanted because of malfunction. After a mean follow-up time of 15 months (range, 2-36 months), 42 catheters are still functioning properly.
  
  
  CONCLUSIONS
  The ureteroscope-assisted "Mini-Perc" technique with a 16-Fr Peel-Away sheath is a simple, safe and effective method for placement of peritoneal dialysis catheters in ESRD patients.
authors: Department of Nephrology, Affiliated Drum Tower Hospital of Nanjing University, Nanjing, Jiangsu, People's Republic of China.
authors: Wei
authors: W
authors: Zhu
authors: Chunming
authors: C
authors: Jiang
authors: Xiang
authors: X
authors: Yan
authors: Cheng
authors: C
authors: Sun
authors: Miao
authors: M
authors: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D000772:Anesthesia, Local; D001201:Ascites / Q000209:etiology; D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010538:Peritonitis / Q000209:etiology; D011475:Prosthesis Failure / Q000209:etiology; D012189:Retrospective Studies; D020709:Ureteroscopes