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Laparoscopic salvage for malfunctioning of peritoneal dialysis catheters

F Taskesen1, Z Arikanoglu, O Uslukaya

  • 1Department of Surgery, Dicle University Hospital, Faculty of Medicine, Diyarbakir, Turkey. drftaskesen@hotmail.com

Minerva Chirurgica
|January 22, 2013
PubMed

Insights

Laparoscopic surgery effectively treats mechanical complications in continuous ambulatory peritoneal dialysis (CAPD) patients. This minimally invasive approach offers patient comfort and faster recovery, making it a preferred option for end-stage renal disease (ESRD) management.

Area of Science:

  • Nephrology
  • Minimally Invasive Surgery
  • Medical Device Management

Background:

  • Continuous ambulatory peritoneal dialysis (CAPD) is a common treatment for end-stage renal disease (ESRD).
  • Mechanical complications related to CAPD catheters can impede treatment efficacy and patient well-being.
  • Prompt and effective management of these complications is crucial for successful dialysis therapy.

Purpose of the Study:

  • To evaluate the efficacy of laparoscopic surgery in resolving mechanical complications associated with CAPD catheters.
  • To highlight the benefits of the laparoscopic approach for CAPD patients experiencing catheter issues.
  • To establish laparoscopy as a viable surgical option for CAPD-related mechanical problems.

Main Methods:

  • Retrospective analysis of 31 patients undergoing CAPD catheter implantation between 2001 and 2012.
  • Review of medical records for patients who had laparoscopic revision of their peritoneal dialysis catheter.
  • Utilized double-felted spiral Tenckhoff catheters for peritoneal access in all cases.

Main Results:

  • The study included 31 patients (12 males, 19 females) with chronic renal failure requiring dialysis.
  • Patient ages ranged from 13 to 77 years, with a mean age of 35.8 years.
  • Laparoscopic revision was performed over an 11-year period for catheter complications.

Conclusions:

  • CAPD remains a frequently utilized treatment modality for ESRD patients.
  • Laparoscopic intervention is a recommended treatment for CAPD-associated mechanical catheter complications.
  • The laparoscopic method offers advantages such as improved patient comfort, shorter hospital stays, and reduced postoperative complications.
Abstract

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