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Laparoscopic peritoneal dialysis catheter insertion using a Quinton percutaneous insertion kit

Stephen P Haggerty1, Tallal M Zeni, Mike Carder

  • 1Department of Surgery, Evanston Northwestern Healthcare, Evanston, Illinois, USA. haggertys@ameritech.net

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|September 1, 2007
PubMed

Insights

Laparoscopic peritoneal dialysis (PD) catheter insertion using a Quinton kit is safe and effective. This technique minimizes PD catheter dysfunction by allowing optimal tip placement and necessary surgical interventions.

Area of Science:

  • Nephrology
  • Minimally Invasive Surgery

Background:

  • Peritoneal dialysis (PD) is a vital renal replacement therapy.
  • Catheter dysfunction is a significant complication affecting PD efficacy.
  • Minimizing PD catheter dysfunction is crucial for successful long-term treatment.

Purpose of the Study:

  • To evaluate a unique laparoscopic technique for peritoneal dialysis (PD) catheter insertion.
  • To assess the safety, reproducibility, and effectiveness of this minimally invasive approach.
  • To determine if this method can reduce the incidence of PD catheter dysfunction.

Main Methods:

  • Retrospective review of patients undergoing laparoscopic PD catheter placement.
  • Utilized a Quinton percutaneous insertion kit for catheter placement.
  • Data collected from July 2000 to December 2004, with a mean follow-up of 17 months.

Main Results:

  • Thirty-one laparoscopic PD catheters were successfully placed.
  • Mean operative time was 52 minutes.
  • Low rate of late complications, including 6.5% catheter dysfunction and 1 case of abdominal pain requiring removal.

Conclusions:

  • Laparoscopic PD catheter insertion with a Quinton kit is a safe and effective procedure.
  • The technique facilitates optimal catheter tip placement in the pelvis.
  • This approach allows for necessary surgical interventions like adhesiolysis and omentectomy, leading to reduced PD catheter dysfunction.
Abstract

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