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2017 ; 7
(1
): 9097
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Peritoneal Dialysis Catheter Emplacement by Advanced Laparoscopy: 8-year
Experience from a Medical Center of China
#MMPMID28831180
Mo M
; Ju Y
; Hu H
; Zhang W
; Pan J
; Zheng Q
; Chen J
; Su L
; Dou X
Sci Rep
2017[Aug]; 7
(1
): 9097
PMID28831180
show ga
Laparoscopic experience and relevant reports about PD catheter emplacement in
Chinese patients are seldom. In this study, we described our experience with
advanced laparoscopy for PD catheter implantation in Chinese patients. There were
one hundred and thirty Chinese patients accepted advanced laparoscopic approach
for PD catheter emplacement in this study. Six of 26 patients with prior
abdominal operations had abdominal adhesion, while six of 104 patients without
prior abdominal surgeries showed abdominal adhesion. Operation time required 10
to 180?minutes. During a mean follow-up time of 26.46 months, the catheter
complications were shown as outflow obstruction (n?=?6, 4.62%), pericatheter
leaking (n?=?3, 2.31%), hydrocele of tunica vaginalis (n?=?1, 0.77% in all), and
umbilical hernia (n?=?2, 1.54%). Cumulative revision-free survival probability
for catheter loss from mechanical complications at 8 years was 0.95. During the
postoperative follow-up ranged between 6 and 106 months, 98 patients (75.38%)
were still on CAPD, 17 patients (13.08%) died, 8 patients (6.15%) were
transferred to hemodialysis, 6 patients (4.62%) received kidney transplantation,
and 1 patient (0.77%) showed improved renal function. These results showed that
PD catheter placement with advanced laparoscopy is a safe and effective approach
in Chinese patients with or without prior abdominal surgeries.
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