Synchronous Laparoscopic Insertion of Peritoneal Dialysis Catheter and Cholecystectomy in Patients with End-Stage Renal Disease and Gallstones – Our Experience

2019 ◽  
Vol 39 (5) ◽  
pp. 489-491
Author(s):  
Jurij Janež

In patients with end-stage renal disease who are candidates for peritoneal dialysis (PD) and have gallstones or gallbladder polyps, it is advised to perform synchronous insertion of PD catheter and cholecystectomy. With gallbladder removal at the time of peritoneal catheter insertion we can avoid infective complications, such as acute cholecystitis and possible PD failure. This article presents our experience with synchronous laparoscopic cholecystectomy and insertion of a PD catheter.

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Peace D. Imani ◽  
Jennifer L. Carpenter ◽  
Cynthia S. Bell ◽  
Mary L. Brandt ◽  
Michael C. Braun ◽  
...  

1984 ◽  
Vol 4 (3) ◽  
pp. 156-157 ◽  
Author(s):  
Sharon P. Andreoli ◽  
Karen W. West Jay ◽  
L. Grosfeld ◽  
Jerry M. Bergstein

In two adolescents maintained on CAPD, infections of the peritoneal catheter tunnel were treated by an “unroofing” technique. The infections were eradicated without catheter removal or interruption of CAPD. Continuous ambulatory peritoneal dialysis (CAPD) has produced a dramatic improvement in the care of patients with end-stage renal disease. Peritonitis remains a major complication and the most common cause of CAPD failure (1–3). Most episodes of peritonitis can be attributed to a break in the technique of bag exchanges; however, tunnel infections are also implicated (3,4). Tunnel infections are difficult to cure and, if persistent, may make necessary the removal of an otherwise well functioning catheter. We describe two patients with tunnel infections that were eradicated after “unroofing” of the Tenckhoff catheter.


1983 ◽  
Vol 3 (1) ◽  
pp. 22-24 ◽  
Author(s):  
Alberto Valli ◽  
Ugo Crescimanno ◽  
Osario Midiri ◽  
Khaled Arw ◽  
Peter Riegler ◽  
...  

The authors describe their experiences with a new type of peritoneal catheter in 45 patients with end-stage renal disease treated with intermittent (IPD) or continuous ambulatory peritoneal dialysis (CAPD) over 18 months. This new catheter consists of an abdominal part, similar in diameter to the Tenckhoff catheter but with larger holes; this part is enveloped in a silastic balloon with many holes. An important advantage of the new catheter is an outflow rate that is much higher than the Tenckhoff catheter. The incidence of malfunction was considerably reduced an d in addition, there were no cases of catheter failure due to blood or fibrin clots or wrapping by omentum.


2015 ◽  
Vol 9 (1-2) ◽  
pp. 59 ◽  
Author(s):  
Claudio De Carli ◽  
Luis A Guerra

We present the case of an 11-year-old girl with end-stage renal disease and a previously-inserted peritoneal dialysis catheter who underwent a bilateral transperitoneal laparoscopic nephrectomy for hypertension refractory to medical treatment. We employed a 4-port transperitoneal technique using the first detached kidney to occlude the ipsilateral abdominal wall access port during the contralateral nephrectomy to avoid gas/fluid leak and to facilitate location of the first kidney at the end of the surgery. The patient had no morbidity and was able to resume use of the peritoneal dialysis catheter 5 days after the surgery.


2009 ◽  
Vol 24 (10) ◽  
pp. 2035-2039 ◽  
Author(s):  
Michelle N. Rheault ◽  
Jurat Rajpal ◽  
Blanche Chavers ◽  
Thomas E. Nevins

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