Abstract

Objective To present our initial experience of single-port multi-channel laparoscopic urologic surgery for the transumbilical laparoscopic implantation of long-term peritoneal dialysis catheters.Methods On May 17th and August 18th,2009,2patients underwent single-port multi-channel laparoscopic surgery for chronic renal failure(CRF)due to benign arteriolonephrosclerosis and type 2diabetes mellitus(DM).The flexible laparoscopic instrumentation with a homemade single port and multichannels was used for the transperitoneal approach.Results The 2cases were completed without conversion to standard laparoscopic or laparotomy.The operation time for implantation was 15-25min,and the estimated blood loss was about 20ml.The patients were discharged 1day after operation and were followed up for 6-8months.Conclusion Singleport multi-channel laparoscopy is feasible,safe,and effective for transumbilical laparoscopic implantation of long-term peritoneal dialysis catheters,with the advantages of minimal incision and better cosmetic benefit.

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