Buradasınız

Anasayfa » Content

Son Dönem Böbrek Hastalığı Hastalarında Peritoneal Diyaliz Kateteri Yerleştirilmesinde Laparoskopik ve Konvansiyonel Yöntemlerin Karşılaştırılması: Tek Merkez Deneyimi

A Comparison of Laparoscopic and Conventional Methods in Peritoneal Dialysis Catheter Placement in Patients with End-Stage Renal Disease: Single Center Experience

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2014
DOI: 
10.5262/tndt.2014.1003.02

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
OBJEC TIVE: There is no consensus on superiority of peritoneal dialysis catheter placement methods to each other in the literature.Therefore, the aim of this study was to determine whether there were differences in complications between laparoscopic and percutaneous PD catheter placement methods performed in our hospital. MATER IAL and ME THODS: Forty patients with ESRD files were evaluated retrospectively. The patients were divided into two groups according to the placement method of PD catheters; namely, the Percutaneous Group (PG) and the Laparoscopic Group (LG). RE SUL TS: Dialysate leakage was seen only in one patient in PG (3.33%) while it was not seen in LG (p= 0.75). Malposition was detected only in five patients in PG (16.7%) and it was not seen in LG (p= 0.22). Catheter dysfunction occurred in four patients in PG (13.3%) while it was not seen in LG (p= 0.30). Hemoperitoneum did not develop in PG while it appeared in one patient (10%) in LG (p=0.25). Early peritonitis was detected in four patients in PG (13.3%) and in one (10%) patient in LG (p = 0.78). Exit site infection developed only in 10 patients (33.3%) from PG; however, it did not develop in LG (p=0.04). CONCLU SION: Percutaneous PD catheter placement was preferred in our center, and fewer complications were observed with laparoscopic methods. We recommend laparoscopic PD catheter placement in patients with morbid obesity, prior abdominal surgery, herniation or malposition developing due to the percutaneous method and where percutaneous fixation is not possible.
Bookmark/Search this post with
Abstract (Original Language): 
AMAÇ: Literatürde periton kateter yerleştirme yöntemlerinden herhangi birinin diğerine üstünlüğü ile ilgili görüş birliği yoktur. Bu çalışmada, laparoskopik ve perkütan yöntemler ile SAPD kateter yerleştirilmesinin komplikasyonları açısından fark araştırıldı. GERE Ç ve YÖNTEMLER : 2007 ile 2012 yılları arasında ANEAH Nefroloji Kliniği takibinde olan SDBH tanılı 40 hastanın sonuçları retrospektif olarak değerlendirildi. Hastalar SAPD kateter yerleştirilmesi yöntemine göre iki gruba ayrıldı; perkütan grup (PG) ve laparoskopik grup (LG). BUL GUL AR: PG de bir hastada (%3,33) diyalizat kaçağı ortaya çıktı, LG de ise diyalizat kaçağı görülmedi (p= 0,75). LG de malpozisyon bulunmazken, PG’deki 5 (%16,7) hastada malpozisyon saptandı (p= 0,22). PG de 4 (%13,3) hastada kateter fonksiyonel bozukluğu gelişirken, LG’de böyle bir komplikasyon oluşmadı (p= 0,30). Hemoperitoneum sadece LG’deki 1 (%10) hastada görüldü (p= 0,25). Erken peritonit PG’deki dört (%13,3) hastada görülürken LG’de bir (%10) hastada görüldü (p= 0,78). Çıkış yeri enfeksiyonu PG’de on (%33,3) hastada saptandı, LG’de ise gözlenmedi (p= 0,04). SONUÇ: Merkezimizde periton diyalizi için öncelikle perkütan yöntemler tercih edilmek ile beraber laparoskopik yöntemlerle daha az komplikasyon geliştiği görülmektedir. Morbid obezite hastalarında, geçirilmiş abdominal cerrahi öyküsü olanlarda, eşlik eden fıtık varlığında ve perkütan yöntem ile malpozisyon gelişip perkütan olarak düzeltilemeyen hastalarda laparoskopik yöntem ile periton kateteri yerleştirilmesini önermekteyiz.
FULL TEXT (PDF): 
PDF icon arastirmax-son-donem-bobrek-hastaligi-hastalarinda-peritoneal-diyaliz-kateteri-yerlestirilmesinde-laparoskopik-konvansiyonel-yontemlerin-karsilastirilmasi-tek-merkez-deneyimi.pdf
  • 3
181
184
  • Turkish

REFERENCES

References: 

1. Sinnakirouchenan R, Holley JL: Peritb dialysis versus hemodialysis:
Risks, benefits, and access issues. Adv Chronic Kidney Dis 2011;
18(6): 428-432
2. Chaudhary K, Sangha H, Khanna R: Peritoneal dialysis first:
Rationale. Clin J Am Soc Nephrol 2011; 6(2): 447-456
3. Maio R, Figueiredo N, Costa P: Laparoscopic placement of
Tenckhoff catheters for peritoneal dialysis: A safe, effective, and
reproducible procedure. Perit Dial Int 2008; 28(2): 170-173
4. Figueiredo A, Goh BL, Jenkins S, Johnson DW, Mactier R,
Ramalakshmi S, Shrestha B, Struijk D, Wilkie M: Clinical practice
guidelines for peritoneal access. Perit Dial Int 2010; 30(4): 424-429
5. Dinç B, Dinçkan A, Çiyiltepe H, Mesci A, Erdoğan O, Çolak
A: Comparison of laparoscopic and conventional methods for
continuous ambulatory peritoneal dialysis catheter insertion in
terms of complications. Turk Neph Dial Transpl 2012; 21(2): 156-
160
6. Gajjar AH, Rhoden DH, Kathuria P, Kaul R, Udupa AD, Jennings
WC: Peritoneal dialysis catheters: Laparoscopic versus traditional
placement techniques and outcomes. Am J Surg 2007; 194(6): 872-
875
7. Vonesh EF, Snyder JJ, Foley RN, Collins AJ: Differential impact of
risk factors on mortality on hemodialysis and peritoneal dialysis.
Kidney Int 2004; 66: 2389-2401
8. Jaar BG, Coresh J, Plantinga LC, Fink NE, Klag MJ, Levey AS,
Levin NW, Sadler JH, Kliger A, Powe NR: Comparing the risk
for death with peritoneal dialysis and hemodialysis in a cohort
of patients with chronic kidney disease. Ann Int Med 2005; 143:
174-183
9. Dombros N, Dratwa M, Feriani M, Gokal R, Heimbürger O, Krediet
R, Plum J, Rodrigues A, Selgas R, Struijk D, Verger C; EBPG Expert
Group on Peritoneal Dialysis: European best practice guidelines for
peritoneal dialysis. 3 Peritoneal access. Nephrol Dial Transplant
2005; 20 Suppl 9: ix8-ix12
10. Strippoli GF, Tong A, Johnson D, Schena FP, Craig JC: Catheterrelated
interventions to prevent peritonitis in peritoneal dialysis:
A systematic review of randomized, controlled trials. J Am Soc
Nephrol 2004; 15(10): 2735-274611. Crabtree JH, Fishman A, Siddiqi RA, Hadnott LL: The risk of
infection and peritoneal catheter loss from implant procedure exitsite
trauma. Perit Dial Int 1999; 19: 366-371
12. Akçiçek F, Ok E, Tokat Y, Cirit M, Kürşat S, Unsal A, Atabay G,
Başçı A: Early complications of continuous peritoneal dialysis:
Comparison of endoscopic moncrief-popovich technique to
conventional blind trocar technique. Turk Neph Dial Transpl 1995;
1: 50-53
13. Gadallah MF, Ramdeen G, Mignone J, Patel D, Mitchell L, Tatro
S: Role of preoperative antibiotic prophylaxis in preventing
postoperative peritonitis in newly placed peritoneal dialysis
catheters. Am J Kidney Dis 2000; 36(5): 1014-1019
14. Ur-Rehman K, Housawi A, Al-Jifri A, Kielar M, Al-Ghamdi SM:
Peritoneal dialysis for chronic kidney disease patients: A singlecenter
experience in Saudi Arabia. Saudi J Kidney Dis Transpl
2011; 22(3): 581-586
15. Wright MJ, Bel’eed K, Johnson BF, Eadington DW, Sellars L, Farr
MJ: Randomized prospective comparison of laparoscopic and open
peritoneal dialysis catheter insertion. Perit Dial Int 1999; 19(4):
372-375
16. Johnson DW, Wong J, Wiggins KJ, Kirwan R, Griffin A, Preston
J, Wall D, Campbell SB, Isbel NM, Mudge DW, Hawley CM,
Nicol DL: A randomized controlled trial of coiled versus straight
swan-neck Tenckhoff catheters in peritoneal dialysis patients. Am J
Kidney Dis 2006; 48(5): 812-821
17. Cavagna R, Tessarin C, Tarroni G, Casol D, De Silvestro L, Fabbian
F: The self-locating catheter: Clinical evaluation and comparison
with the Tenckhoff catheter. Perit Dial Int 1999; 19(6): 540-543
18. Di Paolo N, Capotondo L, Sansoni E, Romolini V, Simola M,
Gaggiotti E, Bercia R, Buoncristiani U, Canto P, Concetti M, De
Vecchi A, Fatuzzo P, Giannattasio M, La Rosa R, Lopez T, Lo
Piccolo G, Melandri M, Vezzoli G, Orazi E, Pacitti A, Ramello
A, Russo F, Napoli M, Tessarin MC: The self-locating catheter:
Clinical experience and follow-up. Perit Dial Int 2004; 24(4): 359-
364
19. Atapour A, Asadabadi HR, Karimi S, Eslami A, Beigi AA:
Comparing the outcomes of open surgical procedure and
percutaneously peritoneal dialysis catheter (PDC) insertion using
laparoscopic needle: A two month follow-up study. J Res Med Sci
2011; 16(4): 463-468

Thank you for copying data from http://www.arastirmax.com