POST-OPERATIVE OUTCOME OF LAPAROSCOPIC PERITONEAL DIALYSIS CATHETER INSERTION/SALVAGE BY THE “SANTOSH-PGI HANGING LOOP TECHNIQUE”: RESULTS FROM A TERTIARY CARE SINGLE-CENTRE EXPERIENCE

Abstract

Objectives: To analyse post-operative outcomes and gauge the operative efcacy in 17 patients undergoing laparoscopic peritoneal dialysis catheter insertion by the “Santosh-PGI Hanging Loop Technique”. From 2015-2022, patients unde Patients & Methods: rgoing laparoscopic peritoneal dialysis catheter insertion/salvage by the “Santosh-PGI Hanging Loop Technique” was retrieved from the institutional database. Details regarding surgical outcomes were analysed. During the study period, 17 patients having Results: end-stage kidney disease, underwent laparoscopic peritoneal dialysis catheter insertion/salvage by the “Santosh-PGI Hanging Loop Technique”. The mean postoperative follow-up period was 16.33 (1-53) months. At the end of the follow-up period, 1(5.88%) catheter had malfunctioned/migrated, 5(29.41%) patients had died (due to unrelated causes; catheters were functional at the time of demise), and 11(64.70%) were functioning well. 9(52.94%) patients were salvage cases (operated outside initially, by other surgeons) and all had functional catheters at the end of the follow-up period. All cases were operated by a single surgeon. Altogether, we found a success rate of more than 90 %. Patients Conclusion: undergoing laparoscopic peritoneal dialysis catheter insertion/salvage by the “Santosh-PGI Hanging Loop Technique” have a high rate of functioning catheters, ultimately leading to an improved survival rate and patient satisfaction, in patients with end-stage renal disease.