Department of Nephrology, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China.
Clin Exp Nephrol. 2020 Nov;24(11):1044-1049. doi: 10.1007/s10157-020-01942-4. Epub 2020 Aug 1.
We aimed to introduce the puncture technique based on a novel device for preperitoneal tunneling in laparoscopic PD catheter placement and to evaluate the safety and efficacy of this technique.
This novel device was used in our center from May 2016. We conducted a retrospective analysis of patients undergoing laparoscopic PD catheter placement. The traditional method was performed in 20 patients and the novel procedure in 18 patients. A straight Tenckhoff PD catheter was placed in all patients.
No intraoperative complications were encountered in both groups. Compared the traditional technique group, the procedure based on the novel device had a shorter operative time (49.2 ± 11.8 vs 53.9 ± 12.5). One patient in the traditional tunneling group underwent catheter obstruction. There were no pericatheter leakage, exit site and subcutaneous infection, hernia and peritonitis in the early postoperative days. No mortality was observed in these patients. The 6-month survival rate of the catheter was 100%.
Laparoscopic preperitoneal tunneling technique is an effective way to implant intra-abdominal catheter. Our method based on a novel puncture device for preperitoneal tunneling is safe and efficient.
我们旨在介绍一种基于新型装置的经腹膜前隧道建立的腹腔镜 PD 导管置管穿刺技术，并评估该技术的安全性和有效性。
该新型装置于 2016 年 5 月在我院开始使用。我们对接受腹腔镜 PD 导管置管的患者进行了回顾性分析。20 例患者采用传统方法，18 例患者采用新方法。所有患者均放置直型 Tenckhoff PD 导管。
两组患者均未发生术中并发症。与传统技术组相比，新型装置组的手术时间更短（49.2±11.8 比 53.9±12.5）。传统隧道组有 1 例患者发生导管阻塞。术后早期无导管周围渗漏、出口部位和皮下感染、疝和腹膜炎。这些患者均无死亡。导管 6 个月的存活率为 100%。
腹腔镜腹膜前隧道建立技术是一种有效的植入腹腔内导管的方法。我们基于新型穿刺装置的腹膜前隧道建立方法安全有效。
