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Laparoscopic Retrograde Peritoneal Dialysis Catheter Insertion: Technique and Outcomes
Objective:
The study aimed to present technique and outcomes of laparoscopic retrograde peritoneal dialysis catheter insertion in chronic kidney disease (CKD) patients.
Material And Method:
We retrospectively reviewed 11 complicated CKD patients, who underwent both laparoscopic and laparoscopic retrograde peritoneal dialysis catheter (lap PD, r-lap PD) insertion at HRH Princess Maha Chakri Sirindhorn Medical Center during April 2013 to March, 2016. Technique, outcomes and complications were presented.
Results:
After a follow-up period of 14 months in patients who underwent lap PD insertion, there was no infection, bleeding complication, or hernia presented. Dialysate leakage after immediate dialysis was found in one r-lap PD insertion patient but healed spontaneously. No catheter removal or revision was observed.
Conclusion:
The described r-lap PD catheter insertion technique was straightforward, effective and reproducible. Though the sample size was limited, the procedure can used as an alternate in complicated CKD patients.
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Dialysis
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Dialysis

