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Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
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Peritoneal Dialysis Catheter Placement: Percutaneous and Peritoneoscopic Techniques
Husameddin El Khudari1, Ahmed Kamel Abdel-Aal2, Masa Abaza3
1Division of Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama.
Seminars in Interventional Radiology
|February 25, 2022
Summary
Peritoneal dialysis (PD) offers advantages for end-stage renal disease. This article details minimally invasive percutaneous PD catheter placement techniques, including fluoroscopy and peritoneoscopy, for improved patient access.
Area of Science:
- Nephrology
- Minimally Invasive Surgery
Background:
- Chronic peritoneal dialysis (PD) is an underutilized renal replacement therapy for end-stage renal disease (ESRD).
- Successful PD, particularly continuous ambulatory PD, relies on functional, long-term peritoneal access.
- Various surgical and percutaneous methods exist for PD catheter placement.
Purpose of the Study:
- To describe percutaneous techniques for PD catheter placement.
- To detail the fluoroscopy-guided and peritoneoscope methods for PD access.
Main Methods:
- Fluoroscopic method: Utilizes fluoroscopy guidance and a guidewire for PD catheter insertion.
- Peritoneoscope method: Employs a needlescope for direct visualization of the peritoneal cavity, aiding in avoiding adhesions and omentum during placement.
Main Results:
- Percutaneous approaches offer minimally invasive PD catheter placement.
- These outpatient procedures do not require general anesthesia.
Conclusions:
- Percutaneous techniques provide effective and less invasive options for establishing PD access.
- Fluoroscopy and peritoneoscopy are valuable methods for PD catheter insertion in ESRD patients.
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