Evaluation of short-term complications in laparoscopic peritoneal dialysis catheter placement - a single tertiary center experience
Background. Peritoneal dialysis is a form of kidney function replacement that is not as widespread as hemodialysis. However, it has recognized advantages, such as preservation of residual renal function, lack of vascular access, and the ability to be performed at home. On the other hand, it requires...
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MDPI AG
2024-10-01
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| Series: | Journal of Mind and Medical Sciences |
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| Online Access: | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1547&context=jmms |
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| author | Cristina Raluca Iorga Iuliana Andreiana Simona Hildegard Stancu Traian Constantin Victor Strambu Cristian Iorga |
| author_facet | Cristina Raluca Iorga Iuliana Andreiana Simona Hildegard Stancu Traian Constantin Victor Strambu Cristian Iorga |
| author_sort | Cristina Raluca Iorga |
| collection | DOAJ |
| description | Background. Peritoneal dialysis is a form of kidney function replacement that is not as widespread as hemodialysis. However, it has recognized advantages, such as preservation of residual renal function, lack of vascular access, and the ability to be performed at home. On the other hand, it requires the correct insertion of a peritoneal dialysis (PD) catheter and maintaining its patency. Methods. We conducted a retrospective study of 126 patients with end-stage renal disease who underwent laparoscopic Tenckhoff catheter placement for peritoneal dialysis between January 2016 and December 2022. The study analyzed the frequency and type of complications registered within three months, in order to validate laparoscopy as a safe method of catheter insertion (with reduced periprocedural complications), as well as the importance of the multidisciplinary team in the care of patients with peritoneal dialysis. Results. In about 14% of patients, we encountered a total of 23 complications: 61% in the first month, 34.7% in the second month, and 4.3% in the third month. The most frequent complication was infection (peritonitis 35%, catheter exit site infection 30.4%), followed by peri-catheter leak (21.7% of total complications). Catheter migration, hernia, and significant bleeding were rare events (4.3% of total complications each). All complications were managed by medical treatment, except two cases which required replacement of the catheter. Conclusions. Laparoscopic catheter insertion is a safe procedure with low post-procedural complications in patients who are dependent on peritoneal dialysis. |
| format | Article |
| id | doaj-art-c8a12fd32bc7490c99b3598be2a6d5e0 |
| institution | DOAJ |
| issn | 2392-7674 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Mind and Medical Sciences |
| spelling | doaj-art-c8a12fd32bc7490c99b3598be2a6d5e02025-08-20T03:05:10ZengMDPI AGJournal of Mind and Medical Sciences2392-76742024-10-0111245245810.22543/2392-7674.1547Evaluation of short-term complications in laparoscopic peritoneal dialysis catheter placement - a single tertiary center experienceCristina Raluca Iorga0Iuliana Andreiana1Simona Hildegard Stancu2Traian Constantin3Victor Strambu4Cristian Iorga5Carol Davila University of Medicine and Pharmacy, Bucharest, RomaniaCarol Davila University of Medicine and Pharmacy, Bucharest, RomaniaCarol Davila University of Medicine and Pharmacy, Bucharest, RomaniaCarol Davila University of Medicine and Pharmacy, Bucharest, RomaniaCarol Davila University of Medicine and Pharmacy, Bucharest, RomaniaCarol Davila University of Medicine and Pharmacy, Bucharest, RomaniaBackground. Peritoneal dialysis is a form of kidney function replacement that is not as widespread as hemodialysis. However, it has recognized advantages, such as preservation of residual renal function, lack of vascular access, and the ability to be performed at home. On the other hand, it requires the correct insertion of a peritoneal dialysis (PD) catheter and maintaining its patency. Methods. We conducted a retrospective study of 126 patients with end-stage renal disease who underwent laparoscopic Tenckhoff catheter placement for peritoneal dialysis between January 2016 and December 2022. The study analyzed the frequency and type of complications registered within three months, in order to validate laparoscopy as a safe method of catheter insertion (with reduced periprocedural complications), as well as the importance of the multidisciplinary team in the care of patients with peritoneal dialysis. Results. In about 14% of patients, we encountered a total of 23 complications: 61% in the first month, 34.7% in the second month, and 4.3% in the third month. The most frequent complication was infection (peritonitis 35%, catheter exit site infection 30.4%), followed by peri-catheter leak (21.7% of total complications). Catheter migration, hernia, and significant bleeding were rare events (4.3% of total complications each). All complications were managed by medical treatment, except two cases which required replacement of the catheter. Conclusions. Laparoscopic catheter insertion is a safe procedure with low post-procedural complications in patients who are dependent on peritoneal dialysis. https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1547&context=jmmsperitoneal dialysislaparoscopyperitoneal cathetercomplications |
| spellingShingle | Cristina Raluca Iorga Iuliana Andreiana Simona Hildegard Stancu Traian Constantin Victor Strambu Cristian Iorga Evaluation of short-term complications in laparoscopic peritoneal dialysis catheter placement - a single tertiary center experience Journal of Mind and Medical Sciences peritoneal dialysis laparoscopy peritoneal catheter complications |
| title | Evaluation of short-term complications in laparoscopic peritoneal dialysis catheter placement - a single tertiary center experience |
| title_full | Evaluation of short-term complications in laparoscopic peritoneal dialysis catheter placement - a single tertiary center experience |
| title_fullStr | Evaluation of short-term complications in laparoscopic peritoneal dialysis catheter placement - a single tertiary center experience |
| title_full_unstemmed | Evaluation of short-term complications in laparoscopic peritoneal dialysis catheter placement - a single tertiary center experience |
| title_short | Evaluation of short-term complications in laparoscopic peritoneal dialysis catheter placement - a single tertiary center experience |
| title_sort | evaluation of short term complications in laparoscopic peritoneal dialysis catheter placement a single tertiary center experience |
| topic | peritoneal dialysis laparoscopy peritoneal catheter complications |
| url | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1547&context=jmms |
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