Original scientific paper
IS IT SAFE TO REMOVE THE PERITONEAL CATHETER DURING KIDNEY TRANSPLANTATION SURGERY?
LADA ZIBAR
; Clinical Hospital Merkur, Zagreb, Croatia; Faculty of Medicine, University Josip Juraj Strossmayer in Osijek, Osijek, Croatia
ANA VUKIĆ
; General Hospital Dubrovnik, Dubrovnik, Croatia
KSENIJA VUČUR ŠIMIĆ
; Clinical Hospital Merkur, Zagreb, Croatia
*
ŽELJKA JUREKOVIĆ
; Clinical Hospital Merkur, Zagreb, Croatia
* Corresponding author.
Abstract
Transplantologists have not reached agreement on whether the optimal time for peritoneal catheter for peritoneal dialysis removal is during or at a later point after kidney transplant surgery. One of the main reasons for not removing the peritoneal catheter during kidney transplant surgery is delayed allograft function and the need for dialysis. On the other hand, an increased risk for peritoneal catheter-related infections is the main argument for earlier (simultaneously with kidney transplantation surgery) peritoneal catheter extraction. The aim of our study was to investigate outcomes of peritoneal catheter removal during kidney transplant surgery in our transplant center. During a 10-year period (2013 – 2022) 509 kidney transplantations were performed in our center. The retrospective study included all 78 (15 %) adult kidney transplant recipients who were on peritoneal dialysis at the time of the transplantation. In 75 of them, the peritoneal catheter was removed during the kidney transplant surgery and they were included in further analysis. Delayed graft function developed in 18 patients, requiring hemodialysis. Peritonitis or surgical complications related to peritoneal catheter removal did not occur during the post-transplantation period in any of the 75 patients. One-year patient survival was 99 %, and graft survival was 99 % as well. Kidney graft function at 1 year was good (median serum creatinine 114 μmol/L, ranging from 49 to 427). Our ten-year experience with 75 patients in whom peritoneal catheter removal was performed during the kidney transplant surgery provided clear evidence that such a timing approach should be considered safe and without complications, thus rendering avoidance of one more anesthesia, while possibly reducing the risk of peritonitis as well as the costs involved.
Keywords
peritoneal catheter extraction; time; peritonitis; kidney transplantation
Hrčak ID:
331218
URI
Publication date:
16.5.2025.
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