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. 2019 May 18;1(1):34-37.
doi: 10.1016/j.sopen.2019.05.001. eCollection 2019 Jul.

Outcomes of peritoneal dialysis catheter configurations and pelvic fixation

Yash K Pandya  1 , Jason K Wagner  2 , Theodore Yuo  2 , Mohammad Eslami  2 , Michael J Singh  2 , Eric S Hager  2
Affiliations

Outcomes of peritoneal dialysis catheter configurations and pelvic fixation

Yash K Pandya et al. Surg Open Sci. .

Abstract

Background: Laparoscopic peritoneal dialysis catheter placement has expanded indications, although a relative paucity of data exists about the best configuration for improving outcomes. The purpose of this study is to investigate the role of different catheter configurations and pelvic fixation on catheter and patient outcomes.

Methods: Retrospective chart review of patients undergoing peritoneal dialysis catheter implantation between January 1, 2013, and December 31, 2016. All procedures were conducted laparoscopically at a single center. Statistical analyses were conducted using Stata/SE 14.2.

Results: Buried catheter configuration was a statistically significant predictor of peritonitis compared to unburied configuration (P = 0.008). Buried catheter was exteriorized at 100 days (SD 107.8). A longer length of time to exteriorization significantly correlated with peritonitis, need for revision, and need for revision pelvic fixation (P < 0.05). Additionally, initial pelvic fixation was a significant predictor of revision (HR 3.94).

Conclusions: Peritoneal dialysis catheter placement via a laparoscopic approach can be successfully performed in a diverse patient mix with positive results. However, buried catheter configuration and prophylactic pelvic fixation should be carefully employed in select patients.

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Figures

Fig 1
Fig 1
Laparoscopic implantation technique. The red lines indicate the location of the insertion of the Optiview ports. The blue line indicates the trajectory of the catheter implantation and the blue dot indicates the location of catheter exit.
Fig 2
Fig 2
Functioning peritoneal dialysis catheter. This is the configuration of a functioning peritoneal dialysis catheter.
See this image and copyright information in PMC

References

    1. United States Renal Data System . National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; Bethesda, MD: 2016. 2016 USRDS annual data report: Epidemiology of kidney disease in the United States.
    1. Tokgoz B. Clinical advantages of peritoneal dialysis. Perit Dial Int. 2009;29(Suppl. 2):S59­61. - PubMed
    1. Berger A., Edelsberg J., Englese G.W. Cost comparison of peritoneal dialysis versus hemodialysis in end-stage renal disease. Am J Manag Care. 2009;15(8):509–518. - PubMed
    1. Jain A.K., Blake P., Cordy P., Garg A.X. Global trends in rates of peritoneal dialysis. J Am Soc Nephrol. 2012;23(3):533–544. - PMC - PubMed
    1. Hauch A.T., Lundberg P.W., Paramesh A.S. Laparoscopic techniques enable peritoneal dialysis in the difficult abdomen. JSLS. 2014;18(4) - PMC - PubMed

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