versión impresa ISSN 0211-6995
GARCIA-CRUZ, Eduard et al. Laparoscopic placement of peritoneal dialysis catheter: description and results of a two-port technique. Nefrología (Madr.) [online]. 2010, vol.30, n.3, pp.354-359. ISSN 0211-6995.
Aim: To test the feasibility, efficacy and safety of a new two port laparoscopic technique for dialysis catheter placement. Material and methods: From January 2006 to July 2009 51 patients underwent dialysis catheter placing using an original technique. All procedures were finished laparoscopically using two 12 mm-sized ports. Our technique bases on placing Oreopoulos- Zellerman catheter along a straight Guyon's guide with atraumatic tip, visually guaranting optimal placement. Catheter can be repositioned if desired by reentering the guide. Median follow-up was 25 months. Results: Mean operating time was 32 minutes (range 15-55 minutes). One patient suffered an immediate postoperative catheter obstruction that required surgical repositioning. No other technical intra or early postoperative complications related to technique were reported. Mean time to discharge 1,02 ± 2.2 days. Catheter outflow failure rate was 7.6%. Conversion to haemodialysis due to peritonitis 13%. Peritonitis per patient/year was 0.27. Catheter 6 mo, 1 year and 2 year survival rate was 94%, 87% and 72%. Catheter migration rate was 4%. There was no peritoneal dialysis liquid leakage. Conclusions: The two ports technique described is an easy and rapid procedure, with few complications and early discharge. Due to its reliability, offers good catheter function outcome.
Palabras clave : Peritoneal dialysis; Laparoscopy; Surgical technique.