VS11P EARLY EXPERIENCE WITH A SIMPLIFIED TECHNIQUE OF LAPAROSCOPIC INSERTION OF PERITONEAL DIALYSIS CATHETER

Abstract

Introduction: Peritoneal dialysis catheters are traditionally inserted via a mini‐laparotomy. However, in recent years, numerous minimally invasive techniques have been described, each with their advantages and disadvantages. Laparoscopy offers a minimally invasive technique that also provides good views of the peritoneal cavity and allows the catheter to be secured to the abdominal wall. However, laparoscopy can also be technically challenging. A simplified technique of laparoscopic insertion is hereby described. The authors’ early experience with this technique is summarised.Methods: All patients referred to the Vascular Surgery Unit for insertion of peritoneal dialysis catheter without a prior history of major abdominal surgery were offered laparoscopic insertion. Only a brief description is offered here. Using a two port technique, the peritoneal dialysis catheter is inserted into the pelvis and secured onto the anterior abdominal wall. Data was prospectively collected. All patients were routinely followed up at 2 weeks following procedure.Results: There were 4 patients (3 females, 1 male) with an average age of 62. None have previously had major abdominal surgery. One patient has had open appendicectomy. The procedure was completed laparoscopically in all cases. The average time taken was 38 minutes (26–41 min). All patients were discharged the day after procedure. To date, no complications have been observed.Conclusions: This paper describes a new simplified technique of laparoscopic insertion of peritoneal dialysis catheter and summarizes the authors’ early experience with this technique. The results of this technique are promising and warrant further evaluation in a prospective study.