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OUR RESULTS IN LAPAROSCOPIC-ASSISTED PLACEMENT OF PERITONEAL DIALYSIS CATHETERS: TEN-YEAR EXPERIENCE
MIODRAG GUDELJ
; Klinički bolnički centar Rijeka, Zavod za digestivnu kirurgiju, Rijeka, Hrvatska
LEON KUNIŠEK
; Klinički bolnički centar Rijeka, Zavod za digestivnu kirurgiju, Rijeka, Hrvatska
MARKO ZELIĆ
; Klinički bolnički centar Rijeka, Zavod za digestivnu kirurgiju, Rijeka, Hrvatska
GIORDANO BAČIĆ
; Klinički bolnički centar Rijeka, Zavod za digestivnu kirurgiju, Rijeka, Hrvatska
DAVOR MENDRILA
; Klinički bolnički centar Rijeka, Zavod za digestivnu kirurgiju, Rijeka, Hrvatska
IVICA ĆEPIĆ
; Klinički bolnički centar Rijeka, Zavod za digestivnu kirurgiju, Rijeka, Hrvatska
DOMAGOJ MIHALJEVIĆ
; Klinički bolnički centar Rijeka, Zavod za digestivnu kirurgiju, Rijeka, Hrvatska
DRAŽEN RAHELIĆ
; Klinički bolnički centar Rijeka, Zavod za digestivnu kirurgiju, Rijeka, Hrvatska
HARRY GRBAS
; Klinički bolnički centar Rijeka, Zavod za digestivnu kirurgiju, Rijeka, Hrvatska
Sažetak
The aim was to analyze our results and complications in laparoscopic-assisted placement of the Tenckhoff catheter for peritoneal dialysis in comparison with results reported in the literature. Fifty patients were included in this retrospective analysis. From January 2000 to November 2010, they underwent laparoscopic-assisted placement of catheter for peritoneal dialysis at the University Department of Surgery, Rijeka University Hospital Center. The results of this approach, early and late postoperative complications, conversions to open technique, and reoperation rate were analyzed. The complications that occurred within
the fi rst 4 weeks were considered as early complications. In 23 patients, 29 complications were recorded. There were 18 early
complications, of which 2 acute peritonitis, 2 ileus, 4 bleeding, 4 catheter infection, 3 fl uid leakage, 2 catheter malpositioning and 1 genital edema. There were 11 late complications, of which 5 acute peritonitis, 1 recurrent peritonitis, 1 bleeding, 1 catheter infection, 1 catheter malpositioning, 1 fl uid leakage and 1 port site hernia. There were no deaths after surgery or any complications disabling the implementation of peritoneal dialysis. In patients with end-stage renal disease, laparoscopic-assisted placement of catheter for peritoneal dialysis is a safe and appropriate method of treatment.
Ključne riječi
peritoneal dialysis; laparoscopic technique; complications
Hrčak ID:
142204
URI
Datum izdavanja:
22.7.2015.
Posjeta: 3.836 *