Mini-laparotomy implantation of peritoneal dialysis catheters: Outcome and rescue
Journal
Peritoneal Dialysis International
Journal Volume
30
Journal Issue
5
Pages
513-518
Date Issued
2010
Author(s)
Abstract
Background: Continuous ambulatory peritoneal dialysis is one of the main treatments for end-stage renal disease. To correct mechanical outflow obstruction after open surgical methods of catheter insertion, laparoscopic techniques are widely employed. Methods: Between January 2001 and December 2006, 228 open Tenckhoff catheter implantations were carried out by mini-laparotomy in 218 patients at our medical center. The procedures were all performed by an experienced surgeon, and the postoperative care, patient education, and long-term follow-up were all conducted by the same peritoneal dialysis team. Results: Infection of the exit site or tunnel was the most common complication (27/228, 11.8%), followed by peritonitis (18/228, 7.9%) and refractory mechanical catheter obstruction (9/228, 3.9%). The main causes of catheter removal were successful renal transplantation (21/228, 9.2%), peritonitis (18/228, 7.9%), and infection of the exit site or tunnel (7/228, 3.1%). In the 9 cases of refractory mechanical catheter obstruction, laparoscopic surgery was performed to identify the pathology and to rescue the catheter at the same time. Omental wrapping was the major cause (8/9) of catheter obstruction, with blood clot in the lumen and tube migration occurring in the remaining case (1/9). Partial omentectomy was performed in 5 patients to prevent recurrent obstruction. Neither technique failure nor operation-related complications were noted in our laparoscopic rescue group. For 20 of the 25 patients with refractory infection of the exit site or tunnel, the salvage technique of partial re-plantation was performed, with an 85% (17/20) technique survival rate. Conclusions: With an experienced surgeon and a good postoperative care team, open paramedian placement is a simple, safe, and effective method for Tenckhoff catheter insertion, with a low complication rate. Laparoscopic surgery is effective as rescue for mechanical obstruction, and partial re-plantation is effective as salvage for exit-site or tunnel infection. ? 2010 International Society for Peritoneal Dialysis.
SDGs
Other Subjects
adolescent; adult; aged; article; bladder catheterization; catheter complication; catheter infection; catheter occlusion; child; clinical effectiveness; female; follow up; foreign body; human; laparoscopic surgery; laparotomy; long term care; major clinical study; male; omentectomy; outcomes research; patient education; patient safety; peritoneal catheter; peritoneal dialysis; peritonitis; postoperative care; postoperative complication; priority journal; salvage therapy; school child; surgical technique; survival rate; tenckhoff catheter; Adolescent; Adult; Aged; Aged, 80 and over; Catheters, Indwelling; Child; Cohort Studies; Device Removal; Equipment Failure; Female; Follow-Up Studies; Humans; Kidney Failure, Chronic; Laparoscopy; Laparotomy; Male; Middle Aged; Peritoneal Dialysis, Continuous Ambulatory; Reoperation; Retrospective Studies; Risk Assessment; Surgical Procedures, Minimally Invasive; Treatment Outcome; Young Adult
Type
journal article