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Minerva Chirurgica 2012 December;67(6):505-9

language: English

Laparoscopic salvage for malfunctioning of peritoneal dialysis catheters

Taskesen F. 1, Arikanoglu Z. 1, Uslukaya O. 1, Aliosmanoglu I. 1, Oguz A. 1, Guzel A. 2, Tas I. 1

1 Department of Surgery, Dicle University Hospital, Faculty of Medicine, Diyarbakir, Turkey;
2 Department of Anesthesiology and Reanimasyon, Dicle University Hospital, Faculty of Medicine, Diyarbakir, Turkey


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AIM: The aim of this study was to emphasize the efficacy of the laparoscopic surgical method performed for elimination of catheter-induced mechanical complications developing in CAPD patients.
METHODS: Medical records of 31 patients who had undergone CAPD catheter implantation at the Dicle University Medical Faculty Hemodialysis Unit between January 2001 and June 2012 were examined retrospectively. Double-felted spiral Tenckhoff catheters were used in all patients for peritoneal access.
RESULTS: We performed a retrospective review of 31 patients who, over an 11-year period, underwent revision of a peritoneal dialysis catheter using laparoscopy. Chronic renal failure requiring dialysis occurred in 31 patients (12 males and 19 female). Ages ranged from 13 to 77 years (mean age 35.8 years).
CONCLUSION: As a conclusion, CAPD is currently a choice to be frequently used in patients with ESRD. In the treatment of CAPD-associated mechanical catheter complications laparoscopic method may be preferred because of patient comfort, short hospital stay, and lesser postoperative complications.

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