Medicinski vjesnik, Vol. 42 No. (1-2), 2010.
Professional paper
Laparoscopic placement of peritoneal dialysis catheter: surgical method and results
Tanja Budimir
Draško Krpan
Goran Kondža
Abstract
Laparoscopic placement of peritoneal dialysis catheter has shown to be safe and effective due to improved instruments and method. During the period of 2 years, at the Clinic for Surgery of University Hospital Centre Osijek, 9 laparoscopic placements of peritoneal dialysis catheters were performed. The operations were performed under general anesthesia. Peritoneal dialysis catheter was passed through a preperitoneal tunnel until the tip was placed into the pelvis using 2 5mm ports and mini laparoscopic camera. Outer end of peritoneal dialysis catheter was pulled out in the left lower quadrant of abdomen. The mean operating time was 23 minutes. There were no intraoperative complications and morbidity. At the same time one umbilical hernia was repaired. Routine peritoneal dialysis started 2 weeks after its placement. In 2 cases complications such as leakage and catheter occlusion had been observed, however successfully resolved. This method has proven to be both safe and effective.
Keywords
Renal failure; Laparoscopy - methods; Continuous ambulatory peritoneal dialysis
Hrčak ID:
191880
URI
Publication date:
1.12.2010.
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