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Mini-laparoscopic placement of a peritoneal dialysis catheter

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Abstract

Background: The laparoscopic placement of continuous ambulatory peritoneal dialysis (CAPD) catheters is now an accepted technique. We evaluated a new technique for CAPD catheter placement that requires only a single 2-mm port. Methods: A pilot study was conducted at an academic minimally invasive surgery center. Seven consecutive patients in whom a CAPD catheter was required underwent placement of a 2-mm Veress port and a laparoscope. A carbon dioxide pneumoperitoneum was induced up to 14 mmHg. Under direct visualization with a 2-mm scope, a CAPD catheter was advanced over the right lower quadrant toward the pelvis using a modified Seldinger technique. Results: Seven patients (four women and three men) with end-stage renal disease underwent mini-laparoscopic placement of a CAPD catheter. Mean patient age was 35.3 ± 11.3 years (range, 17–50). Mean operative time was 20.7 ± 5.0 min (range, 14–29). Patients were dialyzed in the immediate postoperative period. No leaks were identified, and there were no intraoperative or postoperative complications. Conclusion: A mini-laparoscopic technique using a single 2-mm port and a modified Seldinger technique is feasible, safe, and effective for peritoneal dialysis catheter placements.

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  1. Minimally Invasive Surgery Center, Department of Surgery, University of Illinois at Chicago Medical Center, 840 South Wood Street, Chicago IL 60612, USA

    J. E. Varela, E. F. Elli, D. Vanuno & S. Horgan

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  1. J. E. Varela
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  2. E. F. Elli
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  3. D. Vanuno
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  4. S. Horgan
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Varela, J., Elli, E., Vanuno, D. et al. Mini-laparoscopic placement of a peritoneal dialysis catheter . Surg Endosc 17, 2025–2027 (2003). https://doi.org/10.1007/s00464-003-8114-0

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  • DOI: https://doi.org/10.1007/s00464-003-8114-0

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