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Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique

The placement of a peritoneal dialysis catheter (PDC) is currently a common procedure in pediatric surgeon practice, and the search for the ultimate technique never stops. The purpose of this study is to evaluate our experience with the laparoscopic PDC placement approach, performing a “2+1” (“two p...

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Autores principales: David, Vlad-Laurentiu, Mussuto, Elisa, Stroescu, Ramona-Florina, Gafencu, Mihai, Boia, Eugen-Sorin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10223083/
https://www.ncbi.nlm.nih.gov/pubmed/37241193
http://dx.doi.org/10.3390/medicina59050961
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author David, Vlad-Laurentiu
Mussuto, Elisa
Stroescu, Ramona-Florina
Gafencu, Mihai
Boia, Eugen-Sorin
author_facet David, Vlad-Laurentiu
Mussuto, Elisa
Stroescu, Ramona-Florina
Gafencu, Mihai
Boia, Eugen-Sorin
author_sort David, Vlad-Laurentiu
collection PubMed
description The placement of a peritoneal dialysis catheter (PDC) is currently a common procedure in pediatric surgeon practice, and the search for the ultimate technique never stops. The purpose of this study is to evaluate our experience with the laparoscopic PDC placement approach, performing a “2+1” (“two plus one”) technique, where the “+1” trocar is placed in an oblique manner, pointing toward the Douglas pouch when passing through the abdominal wall. This tunnel is further used to place and maintain the proper position of the PDC. Materials and methods: We assessed a cohort of five children who underwent laparoscopic-assisted PDC placement between 2018 and 2022. Results: This procedure is a simple, relatively quick, and safe technique for PDC placement. Furthermore, in our experience, concomitant omentectomy is necessary to reduce the risk of catheter obstruction and migration due to omental wrapping. Conclusions: The laparoscopic approach allows for improved visualization and more accurate placement of a catheter inside the abdominal cavity. Concomitant omental excision is necessary to prevent PDC malfunction and migration.
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spelling pubmed-102230832023-05-28 Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique David, Vlad-Laurentiu Mussuto, Elisa Stroescu, Ramona-Florina Gafencu, Mihai Boia, Eugen-Sorin Medicina (Kaunas) Article The placement of a peritoneal dialysis catheter (PDC) is currently a common procedure in pediatric surgeon practice, and the search for the ultimate technique never stops. The purpose of this study is to evaluate our experience with the laparoscopic PDC placement approach, performing a “2+1” (“two plus one”) technique, where the “+1” trocar is placed in an oblique manner, pointing toward the Douglas pouch when passing through the abdominal wall. This tunnel is further used to place and maintain the proper position of the PDC. Materials and methods: We assessed a cohort of five children who underwent laparoscopic-assisted PDC placement between 2018 and 2022. Results: This procedure is a simple, relatively quick, and safe technique for PDC placement. Furthermore, in our experience, concomitant omentectomy is necessary to reduce the risk of catheter obstruction and migration due to omental wrapping. Conclusions: The laparoscopic approach allows for improved visualization and more accurate placement of a catheter inside the abdominal cavity. Concomitant omental excision is necessary to prevent PDC malfunction and migration. MDPI 2023-05-16 /pmc/articles/PMC10223083/ /pubmed/37241193 http://dx.doi.org/10.3390/medicina59050961 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
David, Vlad-Laurentiu
Mussuto, Elisa
Stroescu, Ramona-Florina
Gafencu, Mihai
Boia, Eugen-Sorin
Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique
title Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique
title_full Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique
title_fullStr Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique
title_full_unstemmed Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique
title_short Peritoneal Dialysis Catheter Placement in Children: Initial Experience with a “2+1”-Port Laparoscopic-Assisted Technique
title_sort peritoneal dialysis catheter placement in children: initial experience with a “2+1”-port laparoscopic-assisted technique
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10223083/
https://www.ncbi.nlm.nih.gov/pubmed/37241193
http://dx.doi.org/10.3390/medicina59050961
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