Minimally invasive peritoneal dialysis catheter insertions with concomitant cholecystectomy or hernioplasty : surgical technique and our experiences

Janež, Jurij (author), Škapin, Armand Dominik (author)

Introduction: Peritoneal dialysis is a well-accepted replacement therapy in patients with end-stage renal disease. There are many different options adopted on how to insert a peritoneal dialysis catheter. In our institution, a laparoscopic insertion has become the method of choice for providing peritoneal dialysis access in adult patients. The aim of this study was to analyze surgical outcomes of patients after laparoscopically assisted placement of a PD catheter some of them after concomitant cholecystectomy or hernioplasty. Methods: We have evaluated 70 consecutive patients from 1st of October 2015 to 30th of April 2020 who underwent laparoscopic insertion of a peritoneal dialysis catheter. Demographic data, details about surgery and about peri- and postoperative complications were gathered. Results: Out of 70 enrolled patients, 15 had gallstones (21%) and underwent concomitant laparoscopic cholecystectomy. Three patients (4%) had abdominal wall hernia and underwent concomitant hernioplasty. We observed no perioperative complications connected with any of the performed procedures. There was one early postoperative complication: an early leak of dialysate fluid. Late complications were observed in nine patients (13%): mechanical catheter problems (two patients), peritonitis (three patients), skin exit-site infections (two patients), peri-catheter leak (one patient), and port-site hernia (one patient). Conclusions: For all patients with concomitant gallbladder disease or abdominal wall hernias we suggest to perform synchronous surgeries, due to finding no more complications after concomitant procedures in comparison to patients in whom only a PD catheter was inserted. Concomitant procedures are done to spare patients two separate procedures and to avoid possible complications. We also suggest using the cholecystectomy first, PD catheter insertion second approach for having excellent peri- and postoperative results.

• Language: English
• Keywords: laparoscopy, peritoneal dialysis catheter insertion, concomitant procedure, cholecystectomy, hernioplasty
• Work type: Article
• Typology: 1.01 - Original Scientific Article
• Organization: MF - Faculty of Medicine
• Publication status: Published
• Publication version: Version of Record
• Year: 2023
• Number of pages: Str. 452-457
• Numbering: Vol. 24, iss. 3
• PID: 20.500.12556/RUL-145910
• UDC: 617
• ISSN on article: 1129-7298
• DOI: 10.1177/11297298211039447
• COBISS.SI-ID: 73811459
• Publication date in RUL: 17.05.2023

Record is a part of a journal

• Title: The journal of vascular access
• Shortened title: J. vasc. access
• Publisher: SAGE
• ISSN: 1129-7298
• COBISS.SI-ID: 2283284

Licences

• License: CC BY 4.0, Creative Commons Attribution 4.0 International
• Link: http://creativecommons.org/licenses/by/4.0/
• Description: This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

Secondary language

• Language: Slovenian
• Keywords: laparoskopija, peritonealna dializa, vstavitev katetra, holecistomija, hernioplastika, abdominalna kirurgija