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Laparoscopic preperitoneal tunneling technique using a novel device for peritoneal dialysis catheter placement

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Abstract

Background

We aimed to introduce the puncture technique based on a novel device for preperitoneal tunneling in laparoscopic PD catheter placement and to evaluate the safety and efficacy of this technique.

Methods

This novel device was used in our center from May 2016. We conducted a retrospective analysis of patients undergoing laparoscopic PD catheter placement. The traditional method was performed in 20 patients and the novel procedure in 18 patients. A straight Tenckhoff PD catheter was placed in all patients.

Results

No intraoperative complications were encountered in both groups. Compared the traditional technique group, the procedure based on the novel device had a shorter operative time (49.2 ± 11.8 vs 53.9 ± 12.5). One patient in the traditional tunneling group underwent catheter obstruction. There were no pericatheter leakage, exit site and subcutaneous infection, hernia and peritonitis in the early postoperative days. No mortality was observed in these patients. The 6-month survival rate of the catheter was 100%.

Conclusions

Laparoscopic preperitoneal tunneling technique is an effective way to implant intra-abdominal catheter. Our method based on a novel puncture device for preperitoneal tunneling is safe and efficient.

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Acknowledgements

This study was supported by grant from Zhejiang Medical and Health Science and Technology Plan (2017KY012, 2018KY266).

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Authors and Affiliations

  1. Department of Nephrology, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical College, Hangzhou, China

    Bo Lin, Yueming Liu, Xiaogang Shen, Wangfang Chen, Xinxin Jiang & Qiang He

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  1. Bo Lin
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  2. Yueming Liu
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  3. Xiaogang Shen
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  4. Wangfang Chen
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  5. Xinxin Jiang
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  6. Qiang He
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Corresponding author

Correspondence to Qiang He.

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The authors declare that they have no conflict of interest.

Research involving human participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional review board of Zhejiang Provincial People’s Hospital at which the studies were conducted (IRB approval number 20180030) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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As data were retrospectively collected and derived from routine clinical practice, further consents were waived.

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Lin, B., Liu, Y., Shen, X. et al. Laparoscopic preperitoneal tunneling technique using a novel device for peritoneal dialysis catheter placement. Clin Exp Nephrol 24, 1044–1049 (2020). https://doi.org/10.1007/s10157-020-01942-4

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  • DOI: https://doi.org/10.1007/s10157-020-01942-4

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