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Laparoscopic internal fixation is a viable alternative option for continuous ambulatory peritoneal dialysis catheter insertion

PURPOSE: One of the major drawbacks of peritoneal dialysis (PD) is catheter migration and dysfunction. Preventing catheter migration is one of the main concerns. We compared laparoscopic internal fixation method with open surgical method for catheter migration rates. METHODS: From January 2008 to Au...

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Autores principales: Bae, In Eui, Chung, Woo Kyung, Choi, Sang Tae, Kang, Jinmo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Surgical Society 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3514481/
https://www.ncbi.nlm.nih.gov/pubmed/23230557
http://dx.doi.org/10.4174/jkss.2012.83.6.381
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author Bae, In Eui
Chung, Woo Kyung
Choi, Sang Tae
Kang, Jinmo
author_facet Bae, In Eui
Chung, Woo Kyung
Choi, Sang Tae
Kang, Jinmo
author_sort Bae, In Eui
collection PubMed
description PURPOSE: One of the major drawbacks of peritoneal dialysis (PD) is catheter migration and dysfunction. Preventing catheter migration is one of the main concerns. We compared laparoscopic internal fixation method with open surgical method for catheter migration rates. METHODS: From January 2008 to August 2009, PD catheters were inserted by laparoscopic fixation (LF) method in 22 patients and by open surgery (OS) in 32 patients. Clinical data were reviewed retrospectively. The frequency of migration, peritonitis, and other complications were compared. Catheter and patient survival rates were also compared. RESULTS: The mean age and sex ratio were not different between groups. Mean follow-up duration was 29.1 months in LF group and 26.1 months in OS group. More patients in LF group (27.3%) had history of laparotomy than in OS group (3.1%) (P = 0.01). The mean operation time was significantly longer in LF group (101.6 ± 30.4 minutes) than in OS group (72.4 ± 26.03 minutes) (P = 0.00). The cumulative incidence of catheter migration was 65.6% in OS group and 13.6% in LF group (P = 0.00). Migration-free catheter survival was higher in LF group (P = 0.001). There were no differences in complication rates between groups. Overall catheter survival was similar (P = 0.93). Patient survival rate at 2 years was not different (P = 0.13). CONCLUSION: Laparoscopic internal fixation of continuous ambulatory peritoneal dialysis catheter significantly reduces migration rates without any addition of complications. Also, laparoscopic technique did not incur patient morbidity or mortality despite the requirement for general endotracheal anesthesia and longer operation time. Therefore, internal fixation can be afforded safely in patients with previous abdominal surgery as either a salvage or preventive measure in patients with repeated catheter migration.
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spelling pubmed-35144812012-12-10 Laparoscopic internal fixation is a viable alternative option for continuous ambulatory peritoneal dialysis catheter insertion Bae, In Eui Chung, Woo Kyung Choi, Sang Tae Kang, Jinmo J Korean Surg Soc Original Article PURPOSE: One of the major drawbacks of peritoneal dialysis (PD) is catheter migration and dysfunction. Preventing catheter migration is one of the main concerns. We compared laparoscopic internal fixation method with open surgical method for catheter migration rates. METHODS: From January 2008 to August 2009, PD catheters were inserted by laparoscopic fixation (LF) method in 22 patients and by open surgery (OS) in 32 patients. Clinical data were reviewed retrospectively. The frequency of migration, peritonitis, and other complications were compared. Catheter and patient survival rates were also compared. RESULTS: The mean age and sex ratio were not different between groups. Mean follow-up duration was 29.1 months in LF group and 26.1 months in OS group. More patients in LF group (27.3%) had history of laparotomy than in OS group (3.1%) (P = 0.01). The mean operation time was significantly longer in LF group (101.6 ± 30.4 minutes) than in OS group (72.4 ± 26.03 minutes) (P = 0.00). The cumulative incidence of catheter migration was 65.6% in OS group and 13.6% in LF group (P = 0.00). Migration-free catheter survival was higher in LF group (P = 0.001). There were no differences in complication rates between groups. Overall catheter survival was similar (P = 0.93). Patient survival rate at 2 years was not different (P = 0.13). CONCLUSION: Laparoscopic internal fixation of continuous ambulatory peritoneal dialysis catheter significantly reduces migration rates without any addition of complications. Also, laparoscopic technique did not incur patient morbidity or mortality despite the requirement for general endotracheal anesthesia and longer operation time. Therefore, internal fixation can be afforded safely in patients with previous abdominal surgery as either a salvage or preventive measure in patients with repeated catheter migration. The Korean Surgical Society 2012-12 2012-11-27 /pmc/articles/PMC3514481/ /pubmed/23230557 http://dx.doi.org/10.4174/jkss.2012.83.6.381 Text en Copyright © 2012, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/3.0/ Journal of the Korean Surgical Society is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Bae, In Eui
Chung, Woo Kyung
Choi, Sang Tae
Kang, Jinmo
Laparoscopic internal fixation is a viable alternative option for continuous ambulatory peritoneal dialysis catheter insertion
title Laparoscopic internal fixation is a viable alternative option for continuous ambulatory peritoneal dialysis catheter insertion
title_full Laparoscopic internal fixation is a viable alternative option for continuous ambulatory peritoneal dialysis catheter insertion
title_fullStr Laparoscopic internal fixation is a viable alternative option for continuous ambulatory peritoneal dialysis catheter insertion
title_full_unstemmed Laparoscopic internal fixation is a viable alternative option for continuous ambulatory peritoneal dialysis catheter insertion
title_short Laparoscopic internal fixation is a viable alternative option for continuous ambulatory peritoneal dialysis catheter insertion
title_sort laparoscopic internal fixation is a viable alternative option for continuous ambulatory peritoneal dialysis catheter insertion
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3514481/
https://www.ncbi.nlm.nih.gov/pubmed/23230557
http://dx.doi.org/10.4174/jkss.2012.83.6.381
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