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Sürekli Ayaktan Peritoneal Diyaliz Kateteri Yerleştirilmesinde Uygulanan Laparoskopik ve Klasik Yöntemlerin Komplikasyonları Açısından Karşılaştırılması

Comparison of Laparoscopic and Conventional Methods for Continuous Ambulatory Peritoneal Dialysis Catheter Insertion in Terms of Complications

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2012
DOI: 
DOI 10.5262/tndt.2012.1002.09

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Obj ecti ve: There are various methods for inserting a peritoneal dialysis catheter. Conventional and laparoscopic methods are superior to each other in many different aspects. In this study, both methods were compared with each other in terms of complications. MATER IAL and Methods: Data from 54 patients with end stage renal diseases who were operated for peritoneal dialysis catheter insertion in between 2006 and 2008 at the Department of General Surgery, Faculty of Medicine and University of Akdeniz were analyzed retrospectively. The laparoscopic method was used for 37 patients and the conventional method was used for 17 patients for peritoneal dialysis catheter insertion. While the catheter was placed into pelvis with the aid of a guide wire in the conventional group (CG), it was placed into the pelvis by a camera through a tunnel, formed at preperitoneal field in laparoscopic group (LG). Results : Demographic characteristics of two groups were similar. Median follow up duration was 137 days (range 4 - 678). Functionality rate in one-year for catheters were 87 % in LG and 77 % in CG groups (log rank test p=0.341). Dialysate leakage rates were 19% and 29%, catheter infections rates were 11% and 12% in LG and CG, respectively (p>0.05). However for peritonitis complication, there were significant differences between two groups, 14% and 41% in LG and CG, respectively (p<0.05). Conc lusion : The complications of laparoscopic and conventional surgery methods were compared to place a peritoneal dialysis catheter in the present study. It was observed that among all the compared complications, only the frequency of peritonitis was lower in patients who were operated laparoscopically.
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Abstract (Original Language): 
Amaç : Peritoneal diyaliz kateteri yerleştirilmesinde farklı yöntemler vardır. Geleneksel ve laparoskopik yöntemlerin birçok farklı yönleriyle birbirlerine üstünlükleri vardır. Bu çalışmada, bu iki yöntem komplikasyonları açısından birbiriyle karşılaştırılmıştır. gereç ve Yöntemler: Akdeniz Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilimdalı’ nda 2006-2008 yılları arasında periton diyalizi kateteri yerleştirilmiş 54 hastaya ait veriler geriye dönük olarak analiz edilmiştir. Periton diyalizi katateri yerleştirilmesinde 37 hastada laparoskopik yöntem, 17 hastada ise geleneksel yöntem kullanılmıştır. Klasik yöntemin uygulandığı klasik grupta (KG) kateterin pelvise yerleştirilmesi kılavuz tel yardımı ile sağlanmış iken, laparoskopik yöntemin uygulandığı laparoskopik grupta (LG) ise preperitoneal alandan açılmış bir kanal boyunca ilerleyen kamera ile sağlanmıştır. Bulgular: Her iki gruba ait demografik veriler benzer bulunmuştur. Ortalama izlem süresi 8±7,2 ay olmuştur. LG’a ait kateterlerin % 91,9’ u, KG’ a ait olanların ise % 88,2’ sinin çalışır halde olduğu saptanmıştır (p > 0,05). Diyalizat kaçak oranları LG ve KG için sırasıyla % 18,9 ve % 29,4; kateter enfeksiyon oranları yine sırasıyla % 10.8 ve % 11,8 bulunmuştur (p > 0,05). Ancak, LG için % 13,5 ve KG için % 41,2 olarak saptanan peritonit sıklıkları açısından iki grup arasında anlamlı fark bulunmuştur (p < 0,05). Son uç: Geleneksel ve laparoskopik yöntemlerin komplikasyonları, peritoneal diyaliz kateterinin yerleştirilmesi açısından karşılaştırılmıştır. Karşılaştırılan tüm komplikasyonlar arasında sadece peritonit sıklığının laparoskopi uygulananlarda daha az olduğu gözlemlenmiştir.
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  • 2
156-160
  • Turkish

REFERENCES

References: 

1. 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 201;
22 (3): 581-586
2. Al Wakeel JS, Mitwalli AH, Tarif N, Hammad D, Abu-Aisha H,
Memon N, Alam A, Suliman F, Askar A, Qudsi A: Complications
of CAPD: A single center experience. Saudi J Kidney Dis Transpl
2005; 16 (1): 29-32
3. 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
4. Lu CT, Watson DI, Elias TJ, Faull RJ, Clarkson AR, Bannister KM:
Laparoscopic placement of peritoneal dialysis catheters: 7 years
experience. ANZ J Surg 2003; 73 (3): 109-111
5. Soontrapornchai P, Simapatanapong T: Comparison of open and
laparoscopic secure placement of peritoneal dialysis catheters. Surg
Endosc 2005; 19 (1): 137-139
6. 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
7. Elsürer R, Seze S: Peritoneal dialysis: Noninfectious complications.
Turkiye Klinikleri J Int Med Sci 2006; 2 (4): 41-47
8. Prakash J, Singh LK, Shreeniwas S, Ghosh B, Singh TB: Noninfectious
complications of continuous ambulatory peritoneal
dialysis and their impact on technique survival. Indian J Nephrol
2011; 21 (2): 112-125
9. Dalgıç A, Ersoy E, Engin A: A novel minimal invasive technique
for insertion of the peritoneal dialysis catheter in patients with end
stage renal disease. Turk Neph Dial Transpl 2001; 10 (1): 37-40
10. Harissis HV, Katsios CS, Koliousi EL, Ikonomou MG, Siamopoulos
KC, Fatouros M, Kappas AM: A new simplified one port
laparoscopic technique of peritoneal dialysis catheter placement
with intra-abdominal fixation. Am J Surg 2006; 192 (1): 125-129
11. Çinar Y, Sezer S, Özdemir FH: Clinic practice of peritoneal dialysis.
Turkiye Klinikleri J Int Med Sci 2006; 2 (4): 30-34
12. Koç Y, Ünsal A, Yetkin G, Yılmaz M, Baştürk T, Uludağ M, Yıldırım
M, Sakacı T, Ahbap E: İki farklı periton diyaliz kateter yerleştirme
tekniğinin erken dönem komplikasyonlarının karşılaştırılması. Turk
Neph Dial Transpl 2010; 19 (1): 23-28
13. Ogunc G, Tuncer M, Oğünç D, Yardimsever M, Ersoy F:
Laparoscopic omental fixation technique versus open surgical
placement of peritoneal dialysis catheters. Surg Endosc 2003; 17
(11): 1749-1755
14. Gadallah MF, Pervez A, el-Shahawy MA, Sorrells D, Zibari G,
McDonald J, Work J: Peritoneoscopic versus surgical placement
of peritoneal dialysis catheters: A prospective randomized study on
outcome. Am J Kidney Dis 1999; 33 (1): 118-122
15. Crabtree JH, Fishman A: A laparoscopic approach under local
anesthesia for peritoneal dialysis access. Perit Dial Int 2000; 20 (6):
757-765
16. Tsimoyiannis EC, Siakas P, Glantzounis G, Toli C, Sferopoulos G,
Pappas M, Manataki A: Laparoscopic placement of the Tenckhoff
catheter for peritoneal dialysis. Surg Laparosc Endosc Percutan
Tech 2000; 10 (4): 218-221
17. Leblanc M, Ouimet D, Pichette V: Dialysate leaks in peritoneal
dialysis. Semin Dial 2001; 14 (1): 50-54
18. Jwo SC, Chen KS, Lee CC, Chen HY: Prospective Randomized
study for comparison of open surgery with laparoscopic-assisted
placement of tenckhoff peritoneal dialysis catheter-A single center
experience and literature review. J Surg Res 2010; 159 (1): 489-496
19. Vargemezis V, Thodis E: Prevention and management of peritonitis
and exit-site infection in patients on continuous ambulatory
peritoneal dialysis. Nephrol Dial Transplant 2001; 16 Suppl 6:
106-108
20. Attaluri V, Lebeis C, Brethauer S, Rosenblatt S: Advanced
laparoscopic techniques significantly improve function of peritoneal
dialysis catheters. J Am Coll Surg 2010; 211 (6): 699-704

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