Department of Surgery, The International University of Health and Welfare, Japan.
Division of Hepatobiliary Pancreatic Surgery, Department of Surgery, The Jikei University School of Medicine, Japan.
Am Surg. 2023 Dec;89(12):6203-6205. doi: 10.1177/00031348221111520. Epub 2022 Jun 28.
We developed a novel technique of peritoneal dialysis (PD) catheter placement using an existing device originally utilized to insert a percutaneous endoscopic gastrostomy tube. We investigated the feasibility and safety of the procedure. This study included 21 consecutive patients who underwent laparoscopic placement of PD catheter between August 2021 and December 2021. We retrospectively investigated the clinical variables and perioperative results. The laparoscopic procedure was successfully performed in all patients. The duration of surgery was 21 (18-37) minutes. All patients could start PD within the seventh postoperative day. However, 1 patient had peri-catheter leakage due to exit-site infection. There were no patients with catheter migration, catheter obstruction, peritonitis, procedure-related death, and withdrawal of PD. The laparoscopic placement PD catheter using percutaneous endoscopic gastrostomy device was feasible and safe. (128 words).
我们开发了一种使用现有设备进行腹膜透析（PD）导管放置的新技术，该设备最初用于插入经皮内镜下胃造口管。我们研究了该程序的可行性和安全性。这项研究包括 21 例连续患者，他们于 2021 年 8 月至 2021 年 12 月期间接受了腹腔镜 PD 导管放置。我们回顾性调查了临床变量和围手术期结果。所有患者均成功完成了腹腔镜手术。手术时间为 21 分钟（18-37 分钟）。所有患者均能在术后第 7 天开始 PD。然而，1 例患者因出口部位感染出现导管周围渗漏。无导管移位、导管阻塞、腹膜炎、与操作相关的死亡和 PD 退出的患者。使用经皮内镜下胃造口术设备的腹腔镜 PD 导管放置是可行和安全的。（128 字）
