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Effective Laparoscopic Catheter Insertion Technique for Peritoneal Dialysis Using Specially Designed Trocar:22 Years Multi-Center Retrospective Study of 804 Patients

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Surgical Science 2018年第4期9卷 135-147页

作者： Zoran Cala Ivo Soldo Zdravko Perko Nikola Knezevic ivica kocman Vinko Alfier Miodrag Gudelj Andelko Koprek Mario Kordic Edo Matosevic Irena Senecic-Cala Jasenka Kraljevic Tadeja Pintar Department of Surgery General Hospital OgulinOgulinCroatia Department of Surgery University Hospital Sveti DuhZagrebCroatia Department of Surgery University Hospital SplitSplitCroatia Department of Urology University Hospital Center ZagrebZagrebCroatia University Hospital Merkur ZagrebCroatia Department of Surgery General Hospital SibenikSibenikCroatia Department of Surgery University Hospital RijekaRijekaCroatia Department of Surgery General Hospital VarazdinVarazdinCroatia Department of Urology University Hospital MostarMostarBosnia and Herzegovina Department of Surgery General Hospital PulaPulaCroatia Department of Pediatrics University Hospital Center ZagrebZagrebCroatia University Medical Center Ljubljana LjubljanaSlovenia

Introduction: Literature reveals several peritoneal dialysis laparoscopic catheter insertion techniques developed to improve long-term results for treatment chronic kidney failure with the technic of peritoneal dialysis. The purpose of the study is evaluation of developed and recommended minimally invasive laparoscopic technic for chronic peritoneal dialysis catheter placement using specially constructed trocar. Materials and Methods: Retrospective study included 804 patients in 10 departments of surgery. Surgical and non surgical complications related to PD catheter placement were analysed: bleeding, dialysate leak, early SSI, peritonitis, catheter tip migration, catheter obstruction, omental wrapping and visceral perforations. Available software (Microsoft? Excel for Windows 10, MedCalc, Mariakerke, Belgium) was used for statistical analysis (presented as percentages, mean ± SD or median). Conclusions: The presented technique with specially constructed trocar is a simple and effective procedure with fewer complications comparing to literature. The advantages of this method include long rectus sheath tunnel with the deep cuff placed pre-peritoneally, the small size of the entrance into the peritoneum and accurate position and control of catheter tip in the pelvis.

关键词： Minimally Invasive Surgical Technic Laparoscopic Catheter Insertion Peritoneal Dialysis Peritoneal Catheter Trocar For Laparoscopic Catheter Insertion

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