To review the laparoscopic salvaging of malfunctioning peritoneal dialysis (PD) catheters, and to present our experience with laparoscopic repair of dysfunctional Tenckhoff catheters and the treatment of accompanying surgical pathologies.
♦ Design
Malfunctioning peritoneal catheters were repaired using laparoscopic rescue techniques. Accompanying surgical problems were treated in the same operation. The effectiveness of these approaches was validated by comparison with other remedial techniques described previously.
♦ Patients
Malfunctioning PD catheters were salvaged by laparoscopic surgery in 8 patients, and accompanying surgical problems were treated in the same operation in 3 of the 8 patients.
♦ Main Outcome Measures
Outcome was measured by the successful return to adequate PD and effective treatment of surgical problems.
♦ Results
Eight patient studies show laparoscopic correction of malfunctioning catheters and the treatment of accompanying surgical pathologies with the return to successful PD.
♦ Conclusion
The salvaging of malfunctioning PD catheters by laparoscopic surgery is an ideal method. This procedure permits simultaneous identification and correction of other surgical problems that could otherwise complicate dialysis therapy.
CruzC., FaberM.D.Peritoneoscopic implantation of catheters for peritoneal dialysis: Effect on functional survival and incidence of tunnel infection.Contrib Nephrol1991; 89: 35–9.
4.
BrunkE.Peritoneoscopic placement of a Tenckhoff catheter for chronic peritoneal dialysis.Endoscopy1985; 17: 186–8.
5.
OwensL.V., BraderA.H.Laparoscopic salvage of Tenckhoff catheters.Surg Endosc1995; 9: 517–18.
6.
FukuiM., MaedaK., SakamotoK., HamadaC., TominoY.Laparoscopic manipulation for outflow failure of peritoneal dialysis catheter.Nephron1999; 83: 369.
7.
WilsonJ.A.P., SwartzR.D.Peritoneoscopy in the management of catheter malfunction during continuous ambulatory peritoneal dialysis.Dig Dis Sci1985; 30: 465–7.
8.
WangJ., HsiehJ., ChenF., ChuanC., ChanH., HuangT.Secure placement of continuous ambulatory peritoneal dialysis catheters under laparoscopic assistance.Am Surg1999; 65: 247–9.
9.
CrabtreeJ.H., FishmanA.Laparoscopic epiplopexy of the greater omentum and epiploic appendices in the salvaging of dysfunctional peritoneal dialysis catheters.Surg Laparosc Endosc1996; 6: 176–80.
10.
GibsonD.H., HeasleyR.N., PriceJ.H., DobertyC.C., DouglasJ.F.Laparoscopic repositioning of blocked peritoneal dialysis catheters in patients on CAPD.Clin Nephrol1990; 33: 208.
11.
ChaoS., TsaiT.Laparoscopic rescue of dysfunctional Tenckhoff catheters in continuous ambulatory peritoneal dialysis patients.Nephron1993; 65: 157–8.
HughesC.R., AngottiD.M., JubelirerR.A.Laparoscopic repositioning of a continuous ambulatory peritoneal dialysis (CAPD) catheter.Surg Endosc1994; 8: 1108–9.
14.
MutterD., MarichalJ., HeibelF., MarescauxJ., HannedoucheT.Laparoscopy: An alternative to surgery in patients treated with continuous ambulatory peritoneal dialysis.Nephron1994; 68: 334–7.
15.
NijhuisP.H.A., SmuldersJ.F., JakimowiczJ.J.Laparoscopic introduction of a continuous ambulatory peritoneal dialysis (capd) catheter by a two-puncture technique.Surg Endosc1996; 10: 676–9.
CrabtreeJ.H., FishmanA.Laparoscopic omentectomy for peritoneal dialysis catheter flow obstruction: A case report and review of the literature.Surg Laparosc Endosc Percutan Tech1999; 9: 228–33.
18.
CampisiS., CavatortaF., RamoE., VaranoP.Videolaparoscopy with partial omentectomy in patients on peritoneal dialysis.Perit Dial Int1997; 17: 211–12.
19.
LeungL.C., YiuM.K., ManC.W., ChanW.H., LeeK.W., LauK.W.Laparoscopic management of Tenckhoff catheters in continuous ambulatory peritoneal dialysis. A one-port technique.Surg Endosc1998; 12: 891–3.
20.
CalaZ.Trocar for laparoscopic placement of peritoneal dialysis catheter.Surg Endosc2000; 14: 308–9.
21.
GarciaM.A.V., UrenaM.A.G., CarneroF., RuizE.F., RodriguezC.R., Perez-de-LastraP.A.Omental entrapping of the peritoneal dialysis catheter solved by a laparoscopic approach.Perit Dial Int1997; 17: 194–5.
22.
KokK.Y.K., TanK.K., YappS.K.S.A two-port technique of laparoscopic placement of Tenckhoff catheter with a means to prevent catheter migration.Surg Endosc1999; 13: 1057–8.
23.
GiannattasioM., RosaR.L., BalestrazziA.How can videolaparoscopy be used in a peritoneal dialysis programme?Nephrol Dial Transplant1999; 14: 409–11.
24.
MisraM., KhannaR., NicholsW.K.An unusual intraperitoneal repair of a peritoneal dialysis catheter.Perit Dial Int1998; 18: 339–41.
25.
BrownleeJ., ElkhairaS.Laparoscopic assisted placement of peritoneal dialysis catheter: A preliminary experience.Clin Nephrol1997; 47: 122–4.
CachoC.P., TessmanM.J., NewmanL.N., FriedlanderM.A.Inflow obstruction due to kinking of coiled catheters during placement.Perit Dial Int1995; 15: 276–8.
28.
ÖgünçG.A new laparoscopic approach to salvage a malfunctioning peritoneal dialysis catheter (Abstract).Perit Dial Int2000; 20(Suppl 1): S49.
ÖgünçG., ErsoyF.Laparoscopic approach in malfunctioning peritoneal dialysis catheter and accompanying surgical pathologies.Ambul Surg2001; 9(Suppl): 67S.
31.
MagnusonT.H., BenderJ.S., CampbellK.A., RanterL.E.Cholecystectomy in the peritoneal dialysis patient.Surg Endosc1995; 9: 908–9.
32.
CrabtreeJ.H., FishmanA.Videoscopic surgery under local and regional anesthesia with helium abdominal insufflation.Surg Endosc1999; 13: 1035–9.
33.
PooleG.H., TervitP.Laparoscopic Tenckhoff catheter insertion: A prospective study of a new technique.Aust N Z J Surg2000; 70: 371–3.
34.
GadallahM.F., PervezA., El-ShahawyM.A., SorrellsD., ZibariG., McDonaldJ.Peritoneoscopic versus surgical placement of peritoneal dialysis catheters: A prospective randomized study on outcome.Am J Kidney Dis1999; 33: 118–22.
35.
CrabtreeJ.H., FishmanA., SiddiqiR.A., HadnottL.L.The risk of infection and peritoneal catheter loss from implant procedure exit-site trauma.Perit Dial Int1999; 19: 366–71.
36.
ChiuC.K., KarmakarM.G., YangH.K., SilvaM.C.D., KaranfilianR.G.Laparoscopic management of peritonitis in the setting of an infected Tenckhoff catheter: A case report and description of technique.J Am Coll Surg1996; 183: 640–2.
37.
CruzC.Implantation techniques for peritoneal dialysis catheters.Perit Dial Int1996; 16: 319–21.
MatinS.F., GillI.S.Laparoscopic marsupialization of the difficult lymphocele using internalized peritoneal dialysis catheter.J Urol2000; 163: 1498–500.
40.
WrightM.J., Bel'eedK., JohnsonB.F., EadingtonD.W., SellarsL., FarrM.J.Randomized prospective comparison of laparoscopic and open peritoneal dialysis catheter insertion.Perit Dial Int1999; 19: 372–5.
41.
VerranD., HawkenL., ChuiA.Comparative experience of a simple technique for laparoscopic chronic ambulatory peritoneal dialysis catheter placement: Comment.Aust N Z J Surg1999; 69: 398.
42.
KrugF., HeroldA., JochimsH., BruchH.P.Laparoscopic implantation of Oreopoulos–Zellermann catheters for peritoneal dialysis.Nephron1997; 75: 272–6.
43.
SchauerP.R.Physiologic consequences of laparoscopic surgery. In: EubanksW.S., SwanströmL.L., SoperN.J., eds. Mastery of Endoscopic and Laparoscopic Surgery.Philadelphia: Lippincott;2000: 22–38.
44.
MularskiR.A., SippelJ.M., OsborneM.L.Pneumoperitoneum: A review of nonsurgical causes.Crit Care Med2000; 28: 2638–44.
LessinM.S., LuksF.I., BremA.S., WesselhoeftC.W.Primary laparoscopic placement of peritoneal dialysis catheters in children and young adults.Surg Endosc1999; 13: 1165–7.
PlazaM.M., RivasM.C., Dominguez–VigueraL.Fluoroscopic manipulation is also useful for malfunctioning swan-neck peritoneal catheters.Perit Dial Int2001; 21: 193–7.
54.
MessanaJ.M., BlockG.A., SwartzR.D.Injury to the inferior epigastric artery complicating percutaneous peritoneal dialysis catheter insertion.Perit Dial Int2001; 21: 313–15.
55.
MaccarioM., De VecchiA., ScalamongaA., CastelnovoC., PonticelliC.Inflow obstruction due to kinking of coiled catheters during placement.Perit Dial Int1995; 15: 276–8.
56.
AshS.R., NicholsW.K.Placement, repair, and removal of chronic peritoneal catheters. In: GokalR., NolphK.D., eds. The Textbook of Peritoneal Dialysis.Dordrecht: Kluwer Academic;1994: 315–33.
57.
ÖgünçG., TekinS., ErsoyF.Omental wrapping: The most common cause of catheter malfunction in peritoneal dialysis.Perit Dial Int2000; 20(Suppl 1): S50.
58.
ÖgünçG.A new laparoscopic technique for CAPD catheter placement.Perit Dial Int1999; 19: 493–4.
59.
BaroneG.W., JohnsonD.D., WebbJ.W.A practical approach to laparoscopic surgery for malfunctioning peritoneal dialysis catheters.J Laparoendosc Adv Surg Tech1998; 8: 19–23.
60.
CrabtreeJ.H., FishmanA.A laparoscopic approach under local anesthesia for peritoneal dialysis access.Perit Dial Int2000; 20: 757–65.
61.
Diaz-BuxoJ.Mechanical complications of chronic peritoneal dialysis catheters.Semin Dial1991; 4: 106–10.
62.
WatsonD.I., PetersonD., BannisterK.Secure placement of peritoneal dialysis catheters using a laparoscopic technique.Surg Laparosc Endosc1996; 6: 35–7.
63.
GiannattasioM., De MaioP., La RosaR., BalestrazziA.Videolaparoscopy: A new alternative for implantation of peritoneal catheters in ESRD patients with previous abdominal surgeries.Perit Dial Int1996; 16: 96–7.
64.
BrandtC.P., FranceschiD.Laparoscopic placement of peritoneal dialysis catheters in patients who have undergone prior abdominal operations.J Am Coll Surg1994; 178: 515–16.
65.
SpeckR., GlattliA., CzerniakA., UeblingerD., HorberF.F.Laparoscopic cholecystectomy in a patient on continuous ambulatory peritoneal dialysis.Clin Nephrol1992; 38: 238.
66.
LutesR., HolleyJ.L.Dialysate leak and hemoperitoneum after laparoscopic cholecystectomy in a CAPD patient.Perit Dial Int1993; 13: 318–19.
67.
WillemsenP., TielliuI., AppeltansB.Laparoscopic cholecystectomy in a patient receiving continuous ambulatory peritoneal dialysis.Br J Surg1997; 84: 583.
68.
LaleA.M., WheatleyT.J., NicholsonM.L.Laparoscopic cholecystectomy in a patient receiving continuous ambulatory peritoneal dialysis.Br J Surg1996; 83: 1543.
69.
EustaceJ., LappinD., KeaneF., MelotteG.J., KeoghJ.A.B.Laparoscopic-aided diagnosis of recurrent peritonitis in a patient on CAPD.Nephrol Dial Transplant1996; 11: 2338–9.
70.
BalaskasE.V., IkonomopoulosD., SioulisA., DombrosN., KassimatisE., BamichasG.Survival and complications of 225 catheters used in continuous ambulatory peritoneal dialysis: One-center experience in northern Greece.Perit Dial Int1999; 19(Suppl 2): S167–71.
