| Popis: |
The study aimed to present technique and outcomes of laparoscopic retrograde peritoneal dialysis catheter insertion in chronic kidney disease (CKD) patients.We retrospectively reviewed 11 complicated CKD patients, who underwent both laparoscopic and laparoscopic retrograde peritoneal dialysis catheter (lap PD, r-lap PD) insertion at HRH Princess Maha Chakri Sirindhorn Medical Center during April 2013 to March, 2016. Technique, outcomes and complications were presented.After a follow-up period of 14 months in patients who underwent lap PD insertion, there was no infection, bleeding complication, or hernia presented. Dialysate leakage after immediate dialysis was found in one r-lap PD insertion patient but healed spontaneously. No catheter removal or revision was observed.The described r-lap PD catheter insertion technique was straightforward, effective and reproducible. Though the sample size was limited, the procedure can used as an alternate in complicated CKD patients. |
