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Laparoscopic Tenckhoff catheter insertion: a prospective study of a new technique
1University Department of Surgery, Middlemore Hospital, Auckland, New Zealand. garthp@middlemoreco.nz
Background:
This study describes a new technique of laparoscopic Tenckhoff catheter insertion.
Methods:
During a 12-month period, 53 consecutive patients requiring insertion of peritoneal dialysis catheters were studied prospectively. A new technique of laparoscopic insertion was developed.
Results:
Forty-eight patients out of 49 (98%) had successful insertion. Four patients were excluded with active peritonitis. There was an early complication rate of 8% (4/49) and a late complication rate of 14% (7/49). There was 12% overall failure of catheter with a mean follow up of 6 (1-13) months.
Conclusion:
This new laparoscopic technique maximizes the advantages of laparoscopic surgery and has complication rates which compare favourably with other open and laparoscopic techniques.