Single-Port Laparoscopic Placement of Peritoneal Dialysis Catheter

Abstract

Recent advances in laparoscopic surgery have led to development of various laparoscopic techniques, both for treatment of malfunctioningcatheter and insertion of a dialysis catheter. Most of the techniques use two to four ports. Each port entry can cause weakness of theabdominal wall, and hence possibility of leak or hernia. The technique of single port has been introduced for the management ofobstructed catheter and insertion of another catheter. In this article, we report and evaluate the results of single port technique in theplacement of tenckhoff catheter in chronic renal failure patients (in both adult patients and children).Aim: To know the efficacy and safety of laparoscopic single port insertion of peritoneal dialysis catheter (tenckhoff) and its value incatheter efficiency time, postoperative complications, hospital stay, operation time.Materials and methods: A review of literature by searching in Google, Springer library facility available at the world laparoscopy hospital.Characteristics of variables: Male : Female ratio, mean age, catheter survival rate, hospitalization period, early and late postoperativecomplications, rate of hernia and leak, catheter migration, exit site infection.