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179591

Single-port laparoscopic placement of peritoneal dialysis catheter: A safe and effective technique

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Last updated: 05 Jan 2025

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Abstract

Background/Aim: Laparoscopic techniques  for placement  of peritoneal  dialysis catheters are becomingincreasingly popular. Currently, there are several techniques for such laparoscopic approach. The aim ofthis study is to describe our technique and outcomes of using single port laparoscopic placement of peritoneal dialysis catheters. Patients  and methods:  Laparoscopic implantation of peritoneal dialysis catheters  was performed in 64 consecutive patients.The technique was performed via a single port inserted in the supra-umbilical region. The tip of the catheter was placed in the true pelvis while its deep cuff was placed into the rectus sheath. A subcutaneous tunnel was created to the selected exit site of the catheter. Mean duration of surgery, hospital stay, morbidity, mortality, and catheter survival were assessed. Results:  The mean operating time was 22 ± 7 minutes.  The mean post-operative hospital stay  was 2 ± 1 days.There  were no  conversions  from laparoscopy  to conventional  catheter insertion  methods.  No exit-site or tunnel infections,  hemorrhagic  complications,  abdominal wall hernias, or catheter cuff extrusions were detected. No mortality occurred in this series of patients. Catheter survival was 100% and 96.8% at 6 months and one year respectively Conclusion: The laparoscopic method described in this study is compliant with consensus guidelines   for the best-demonstrated  practices in peritoneal  dialysis access placement.  The results reported in this paper support the opinion that laparoscopic  placement  of peritoneal dialysis catheter should become the standard care for clinical practice. The use of single-port technique is safe, effective and reproducible method.

DOI

10.21608/asjs.2014.179591

Keywords

Laparoscopy, peritoneal dialysis catheters

Authors

First Name

Ahmed Kamal

Last Name

Gabra

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Affiliation

Department of Vascular Surgery, Ain Shams University, Cairo, Egypt.

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Orcid

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First Name

Mohamed M.

Last Name

Tawfika

MiddleName

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Affiliation

Department of Vascular Surgery, Ain Shams University, Cairo, Egypt.

Email

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City

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Orcid

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First Name

Hosam

Last Name

Saleh

MiddleName

-

Affiliation

Department of Vascular Surgery, Ain Shams University, Cairo, Egypt.

Email

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City

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Orcid

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First Name

Amgad`

Last Name

Awadh

MiddleName

-

Affiliation

Department of Vascular Surgery, Ain Shams University, Cairo, Egypt.

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Orcid

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Volume

7

Article Issue

1

Related Issue

25657

Issue Date

2014-01-01

Receive Date

2021-06-23

Publish Date

2014-01-01

Page Start

1

Page End

6

Print ISSN

2090-7249

Online ISSN

3009-7509

Link

https://asjs.journals.ekb.eg/article_179591.html

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https://asjs.journals.ekb.eg/service?article_code=179591

Order

18

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

Single-port laparoscopic placement of peritoneal dialysis catheter: A safe and effective technique

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Article

Created At

23 Jan 2023