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. 2007 Apr-Jun;11(2):208-14.

Laparoscopic peritoneal dialysis catheter insertion using a Quinton percutaneous insertion kit

Stephen P Haggerty  1 , Tallal M Zeni, Mike Carder, Constantine T Frantzides
Affiliations

Laparoscopic peritoneal dialysis catheter insertion using a Quinton percutaneous insertion kit

Stephen P Haggerty et al. JSLS. 2007 Apr-Jun.

Abstract

Objective: We assessed a unique technique of laparoscopic peritoneal dialysis (PD) catheter insertion which can minimize catheter dysfunction.

Methods: We performed a retrospective review of patients undergoing laparoscopic PD catheter placement with a Quinton percutaneous insertion kit between July 2000 and December 2004.

Results: Thirty-one catheters were placed laparoscopically. The mean operating time was 52 minutes. Adhesiolysis was required in 9 (29%) and omentectomy or omentopexy in 3 (10%) cases. Late complications included catheter dysfunction in 2 patients (6.5%), debilitating abdominal pain requiring catheter removal in 1 patient, and 1 trocar-site hernia. The mean follow-up was 17 months.

Conclusions: Laparoscopic PD catheter insertion using a Quinton percutaneous insertion kit is safe, reproducible, and effective. It facilitates placement of the catheter tip into the pelvis and allows adhesiolysis, omentectomy, or omentopexy when necessary. Utilization of this technique results in a low rate of PD catheter dysfunction.

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Figures

Figure 1.
Figure 1.
Port placements and catheter insertion and exit sites.
Figure 2.
Figure 2.
Cross section showing optimal catheter placement through abdominal wall.
Figure 3.
Figure 3.
Contents of the Quinton insertion kit: #11 scalpel, 10-cc syringe, 18-gauge introducer needle and 10-cc syringe, J/straight guidewire, 16-French Pull-Apart introducer, Swan neck curl cath, double-cuffed PD catheter, beta-cap adapter, cap, clamp, and instructions
Figure 4.
Figure 4.
Two-mm grasper advancing the curl catheter into the pelvic cul-de-sac.
See this image and copyright information in PMC

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