Advantages of laparoscopic implantation of peritoneal catheter
Abstract
The results of a comparative analysis of laparoscopy (128 patients) and mini-laparotomy (109 patients) in order to implant a peritoneal catheter are presented. The incidence of dislocation and dysfunction of the catheter, dialysate leakage, infectious and surgical complications are assessed. We describe several methods of laparoscopic implantation of the peritoneal catheter for the use in various clinical situations. The results confirm the advantage of laparoscopic technique of the implantation of peritoneal catheter which allows one to reduce the incidence of catheter dislocation to 2,34% and minimize the incidence of infectious and surgical complications of intervention, which ultimately improves the quality of life of patients treated with peritoneal dialysis and survival of this method of renal replacement therapy.
About the Authors
A. V. Vatazin
M.F. Vladimirsky Moscow Regional State Institute for Clinical Research
Russian Federation
Russian Federation
A. A. Smolyakov
M.F. Vladimirsky Moscow Regional State Institute for Clinical Research
Russian Federation
Russian Federation
E. I. Prokopenko
M.F. Vladimirsky Moscow Regional State Institute for Clinical Research
Russian Federation
Russian Federation
A. G. Yankovoj
M.F. Vladimirsky Moscow Regional State Institute for Clinical Research
Russian Federation
Russian Federation
K. A. Patyukov
M.F. Vladimirsky Moscow Regional State Institute for Clinical Research
Russian Federation
Russian Federation
References
1. Бикбов Б.Т., Томилина Н.А. Состояние заместительной почечной терапии больных с хронической почечной недостаточностью в Российской Федерации в 1998–2009 гг. // Нефрология и диализ. 2011. Том 13. № 3. С. 152–249.
2. Чернооков А.И., Филипцев П.Я., Антонов А.Н. и соавт. Роль лапароскопических методов в лечении больных с терминальной стадией ХПН, находящихся на перитонеальном диализе // Эндоскопическая хирургия. 2008. № 6. С. 42–47.
3. Ashegh H., Rezaii J., Esfandiari K. et al. One-port laparoscopic technique for placement of Tenckhoff peritoneal dialysis catheters: report of seventy-nine procedures // Perit. Dial. Int. 2008. Vol. 28 (6). P. 622–625.
4. Chow K.M., Szeto C.C., Leung C.B. et al. Tenckhoff catheter insertion by nephrologists: open dissection technique // Perit. Dial. Int. 2010. Vol. 30 (5). P. 524–527.
5. Djukanović Lj. Benefits of screening for Chronic Kidney Disease // Prilozi. 2010. Vol. 31 (1). Р. 249–259.
6. Elhassan E, McNair B, Quinn M, Teitelbaum I. Prolonges duration of peritoneal dialysis catheter embedment does not lower the catheter success rate // Perit. Dial. Int. 2011. Vol. 31 (5). Р. 558–564.
7. Hoefield R.A., Kalra P.A., Baker P. et al. Factors associated with kidney disease progression and mortality in a referred CKD population // Am. J. Kidney Dis. 2010. Vol. 56 (6). P. 1072–1081.
8. Imai E, Matsuo S, Makino H et al. Chronic Kidney Disease Japan Cohort study: baseline characteristics and factors associated with causative diseases and renal function // Clin. Exp. Nephrol. 2010. Vol. 14 (6). P. 558–570.
9. Kavalakkat J.P., Kumar S., Aswathaman K., Kekre N.S. Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary? // Urol. Ann. 2010. Vol. 2 (3). P. 107–109.
10. Keshvari A., Fazeli M.S., Meysamie A. et al. The effects of previous abdominal operations and intraperitoneal adhesions on the outcome of peritoneal dialysis catheters // Perit. Dial. Int. 2010. Vol. 30 (1). P. 41–45.
11. Quinn M.P., Cardwell C.R., Rainey A. et al. The impact of admissions for the management of end-stage renal disease on hospital bed occupancy // Nephron. Clin. Pract. 2009. Vol. 113 (4). P. 315–320.
12. Regoczi T., Jósvay J., Bálint A. et al. Experiences with Tenckhoff peritoneal dialysis catheter // Orv. Hetil. 2009. Nov 12. Vol. 150 (46). P. 2110–2114.
Review
For citations:
Vatazin A.V., Smolyakov A.A., Prokopenko E.I., Yankovoj A.G., Patyukov K.A. Advantages of laparoscopic implantation of peritoneal catheter. Nephrology and Dialysis. 2012;14(1):023-030. (In Russ.)
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