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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 68 No. 4-5, 2014.

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OUR RESULTS IN LAPAROSCOPIC-ASSISTED PLACEMENT OF PERITONEAL DIALYSIS CATHETERS: TEN-YEAR EXPERIENCE

MIODRAG GUDELJ ; Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, Croatia
LEON KUNIŠEK ; Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, Croatia
MARKO ZELIĆ ; Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, Croatia
GIORDANO BAČIĆ ; Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, Croatia
DAVOR MENDRILA ; Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, Croatia
IVICA ĆEPIĆ ; Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, Croatia
DOMAGOJ MIHALJEVIĆ ; Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, Croatia
DRAŽEN RAHELIĆ ; Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, Croatia
HARRY GRBAS ; Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, Croatia

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Abstract

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.

Keywords

peritoneal dialysis; laparoscopic technique; complications

Hrčak ID:

142204

URI

https://hrcak.srce.hr/142204

Publication date:

22.7.2015.

Article data in other languages: croatian

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