451 LAPAROSCOPIC PERITONEAL DIALYSIS CATHETER PLACEMENT IN THE PEDIATRIC PATIENT

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You have accessJournal of UrologyPediatrics: Congenital Anomalies - Kidney & Ureter1 Apr 2010451 LAPAROSCOPIC PERITONEAL DIALYSIS CATHETER PLACEMENT IN THE PEDIATRIC PATIENT Blake Palmer, Kristin Janosek-Albright, Dominic Frimberger, and Bradley Kropp Blake PalmerBlake Palmer More articles by this author , Kristin Janosek-AlbrightKristin Janosek-Albright More articles by this author , Dominic FrimbergerDominic Frimberger More articles by this author , and Bradley KroppBradley Kropp More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.523AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Laparoscopic placement of peritoneal dialysis catheters is well tolerated and described in adult chronic renal failure patients. We report our technique and series of laparoscopic placement of peritoneal dialysis catheters utilizing a single working port in the pediatric population. METHODS We reviewed all laparoscopic peritoneal dialysis catheters placed at our institution between January 2007 and July 2009. Data was collected on etiology of renal failure, perioperative and postoperative outcomes for each successive patient. RESULTS Twenty-two patients with acute or chronic renal failure had a laparoscopic peritoneal dialysis catheters placed. The average age was 9.9 years and included 16 males and 6 females. The renal failure etiology was posterior urethral valves (3), hemolytic uremic syndrome (3), multicystic dysplastic kidneys (3), polycystic kidneys (2), unknown (5), renal agenesis (1), Alport's (1), Wegner's (1), methylmalonic acidemia (1), IgA nephropathy (1), and nephrotic syndrome (1). The total in operative room time was 69.2 minutes on average. At the time of catheter placement, 3 patients required an omentectomy and 2 required lysis of adhesions. Six had a prior peritoneal dialysis catheter placed open and 7 had prior abdominal surgeries. Overall complications with the peritoneal dialysis catheters in the cohort were 21.1% and 15.8% required a revision. No irreversible or major complications occurred. CONCLUSIONS Laparoscopic placement of peritoneal dialysis catheters is safe, practical, and successful in the pediatric renal failure population. Outcomes are comparable to open and laparoscopic outcomes in the adult population. Oklahoma City, OK© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e178 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Blake Palmer More articles by this author Kristin Janosek-Albright More articles by this author Dominic Frimberger More articles by this author Bradley Kropp More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...