Document Detail


Primary laparoscopic placement of peritoneal dialysis catheters in children and young adults.
MedLine Citation:
PMID:  10556464     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Primary placement of peritoneal dialysis catheters in children often requires suturing of the catheter into the pelvis. We describe our experience with a gasless laparoscopy technique in children and young adults. METHODS: During an 18-month period, 12 patients (mean age, 14 years) underwent primary laparoscopic placement of peritoneal dialysis catheters. A single umbilical port was used for abdominal wall elevation, telescope, and catheter. A needleholder was introduced via an accessory port at the future catheter exit site or through the umbilical port. Omentectomy was performed through the umbilical incision. The catheter was tunneled to the lateral abdominal wall. Follow-up data (>/= 15 months) included time to initiation of dialysis, hospitalization, and outcome. End points were cure, transplantation, or death. RESULTS: Diet was started on the day of surgery and dialysis on the following day. Four patients had seven complications, including leakage and entanglement of the catheter in tubal fimbriae. Long-term revision-free catheter survival was 67% at 24 months. CONCLUSIONS: This minimal access technique for primary placement of peritoneal dialysis catheters includes securing of the catheter tip in a dependent location and omentectomy. It allows nearly immediate use of the catheter, leads to a minimal hospital stay, and has acceptable long-term patency.
Authors:
M S Lessin; F I Luks; A S Brem; C W Wesselhoeft
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgical endoscopy     Volume:  13     ISSN:  0930-2794     ISO Abbreviation:  Surg Endosc     Publication Date:  1999 Nov 
Date Detail:
Created Date:  1999-12-03     Completed Date:  1999-12-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  1165-7     Citation Subset:  IM    
Affiliation:
Division of Pediatric Surgery, Brown University School of Medicine and Hasbro Children's Hospital, 2 Dudley Street, Providence, RI 02905, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Catheterization / methods
Child
Child, Preschool
Female
Humans
Kidney Failure, Chronic / therapy
Laparoscopy / methods*
Male
Peritoneal Dialysis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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