2261 RELATIONSHIP BETWEEN INTRA-ABDOMINAL ADHESIONS AND LONG-TERM OUTCOMES OF LAPAROSCOPIC-ASSISTED PERITONEAL DIALYSIS CATHETER INSERTION

Abstract

You have accessJournal of UrologyTransplantation & Vascular Surgery: Renal Transplantation, Vascular Surgery1 Apr 20112261 RELATIONSHIP BETWEEN INTRA-ABDOMINAL ADHESIONS AND LONG-TERM OUTCOMES OF LAPAROSCOPIC-ASSISTED PERITONEAL DIALYSIS CATHETER INSERTION Kwan Lun Ho, Terence Chun Ting Lai, Edmond Ming Ho Wong, Kenneth Kam Fung Fu, Simon Chun Wing Wong, Simon Sai Man Chu, and Po Chor Tam Kwan Lun HoKwan Lun Ho Hong Kong, Hong Kong More articles by this author , Terence Chun Ting LaiTerence Chun Ting Lai Hong Kong, Hong Kong More articles by this author , Edmond Ming Ho WongEdmond Ming Ho Wong Hong Kong, Hong Kong More articles by this author , Kenneth Kam Fung FuKenneth Kam Fung Fu Hong Kong, Hong Kong More articles by this author , Simon Chun Wing WongSimon Chun Wing Wong Hong Kong, Hong Kong More articles by this author , Simon Sai Man ChuSimon Sai Man Chu Hong Kong, Hong Kong More articles by this author , and Po Chor TamPo Chor Tam Hong Kong, Hong Kong More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.2503AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Peritoneal dialysis is the main stay of renal replacement method (80%) in our locality. Intra-abdominal adhesions are not uncommon complicating peritoneal dialysis catheter insertion. Common causes include previous abdominal surgeries and peritoneal dialysis-related peritonitis. The objective of this study is to evaluate the relationship between intra-abdominal adhesions and long-term outcomes of peritoneal dialysis catheter insertion with laparoscopic assistance. METHODS From 2000 to 2009, all consecutive patients who had undergone laparoscopic-assisted peritoneal dialysis catheter insertion were included. Degrees of intra-abdominal adhesions were graded 0=Nil, 1=Mild, 2=Moderate and 3=Severe according to laparoscopic finding. The demographics, success of catheter insertion, resumption of peritoneal dialysis and long-term catheter outcomes were evaluated. Long-term catheter survival was calculated by Kaplan-Meier method and factor analysis was done by Cox-regression model. RESULTS Over 10-year period, 167 patients had undergone the captioned procedures. There were 68 male and 99 female patients, with mean age of 57.8. 55, 54, 25,33 patients had grade 0,1,2 and 3 adhesions respectively. Overall success in peritoneal dialysis catheter insertion was 143/167 (85.6%) and 131/167 (78.4%) patients resumed peritoneal dialysis. 5-year death-censored dialysis catheter survival was 60%. Degree of intra-abdominal adhesions was found to be statistically related to long-term dialysis catheter survival (p<0.05). CONCLUSIONS Laparoscopic-assistance was a valuable tool to patients with high risks of intra-abdominal adhesions in resuming peritoneal dialysis. Majority of patients can resume peritoneal dialysis after the procedure. The degree of intra-abdominal adhesions was prognostic of the long-term dialysis catheter survival. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e906 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kwan Lun Ho Hong Kong, Hong Kong More articles by this author Terence Chun Ting Lai Hong Kong, Hong Kong More articles by this author Edmond Ming Ho Wong Hong Kong, Hong Kong More articles by this author Kenneth Kam Fung Fu Hong Kong, Hong Kong More articles by this author Simon Chun Wing Wong Hong Kong, Hong Kong More articles by this author Simon Sai Man Chu Hong Kong, Hong Kong More articles by this author Po Chor Tam Hong Kong, Hong Kong More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...