Abstract
Peritoneal dialysis (PD) remains the treatment modality of choice for renal failure in both the neonatal and pediatric population. Patient selection, technical consideration to access insertion, and management of access-related complications are of great interest as laparoscopic placement becomes more common. The SAGES Guideline for Laparoscopic Peritoneal Dialysis Access Surgery, published in October 2014, is the only evidence-based clinical practice guideline for laparoscopic PD catheter currently available. Additionally, these guidelines provide the most comprehensive review to date, along with expert opinion on management of the more common perioperative complications. It has been well established that the incidence of infection and catheter malfunction is similar between open surgical and laparoscopic catheter placement. However, a major advantage of laparoscopic PD catheter placement is complete visualization of the peritoneal cavity which allows for simultaneous abdominal procedures, adhesiolysis to increase peritoneal surface, and omentectomy to prevent catheter malfunction.
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Amin, R., Walsh, D.S. (2017). Laparoscopic Approaches to Peritoneal Dialysis Access. In: Walsh, D., Ponsky, T., Bruns, N. (eds) The SAGES Manual of Pediatric Minimally Invasive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-43642-5_52
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DOI: https://doi.org/10.1007/978-3-319-43642-5_52
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