engleski

COMPLICATIONS OF LAPAROSCOPIC IMPLANTATION OF CATHETER FOR PERITONEAL DIALYSIS

Aim: The aim of this study is to analyses the complications of videoendoscopic implantation of catheter for peritoneal dialysis using especially original trocar. This trocar consists of two essential parts. The outer part is a cannula which can be separated longitudinally in two symmetric parts. The inner metal part has pyramid shaped tip. During these procedures some complications like during any other laparoscopic procedure and some typically for these operations are possible. Method: Operation is performed under general anesthesia in the operating room using equipment for laparoscopic operation. After Pneumoperitoneum is accessed and laparoscope introduced, the catheter trocar is passed obliquely through the abdominal wall and directed into the pelvis, with the laparoscopic monitoring of the trocar tip. The catheter is introduced through trocar canulla. The canulla is dismantled longitudinally and removed while the catheter tip is kept into the pelvis by the forceps. Results: Between December 1993 and January 2006 catheter for peritoneal dialysis was placed endoscopically in 178 patients using our trocar constructed for this purpose. There were only several minor complications like bleeding from abdominal wall vesels and wound complications.without severe complications like visceral injury or retroperitoneal vascular injury. Conclusion: Laparoscopic placement of catheter for peritoneal dialysis using our specially constructed trocar is a simple, quick, efficient and patient convenient technique.

complications; peritoneal catheter placement

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