engleski

Laparoscopic Placement of a Peritoneal Catheter Using a Specially constructed Trocar

Aim: The aim of our work is to improve the technique of peritoneal catheter placement substituting open with endoscopic operation. For this purpose we constructed original device Cala's trocar. After several models, now we have trocar that fulfills all our needs for this operation. 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. Method: Endoscopic placement is performed under general anesthesia in the operating room using equipment for laparoscopic operation. After pneumoperitoneum is achieved 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: From December 1993 until January 2007 catheter for peritoneal dialysis was placed laparoscopically in 198 cases using our own trocar constructed for this purpose. There were no intraoperative or postoperative complications. Conclusion: Laparoscopic placement of catheter for peritoneal dialysis using specially constructed Cala's trocar is a simple, quick, efficient and patient convenient technique.

laparoscopy; peritoneal catheter

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