Operative Technique for Laparoscopic Placement of Continuous Ambulatory Peritoneal Dialysis Catheter.

Operative Technique for Laparoscopic Placement of Continuous Ambulatory Peritoneal Dialysis Catheter.

Smith Brandon M; Dan Adrian G

Journal of laparoendoscopic & advanced surgical techniques. Part A

2020

2020-02

Background: Peritoneal dialysis (PD) is an increasingly utilized treatment modality for renal replacement therapy that affords medical and lifestyle benefits to the patient and financial savings to the health care system. Successful long-term use of PD is reliant upon an optimally functioning catheter. Many potential catheter-related complications can be avoided through utilizing optimal placement technique. As widespread use of PD as a renal replacement modality continues to increase, the need for a safe, standardized, catheter placement technique has become more evident. Objectives: To present a succinct synopsis of the rationale and elements of our current surgical management strategy for patients undergoing evaluation for PD and to provide a detailed stepwise description of our operative technique for PD catheter placement. This review describes potential pitfalls that may prevent optimal catheter function and describes each step taken to prevent potential complications. This description is combined with intraoperative photographs to highlight key steps. Conclusion: Following a defined reproducible stepwise approach, laparoscopic placement of continuous ambulatory peritoneal dialysis catheters can be performed safely and known potential complications hindering optimal catheter function can be addressed prophylactically.

peritoneal dialysis; CAPD catheter placement; laparoscopic catheter placement; PD catheter placement

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Journal Article

NEOMED College of Medicine

Department of General Surgery; NEOMED Student Publications

March 2020 Update

Summa Health System Akron City Hospital