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Nephrology

G214. LAPAROSCOPIC-ASSISTED PLACEMENT OF PERITONEAL DIALYSIS CATHETERS: EXPERIENCE OF A NOVEL TECHNIQUE
A.R. Williams, J.M.F. Hughes, A.C.H. Lee, M.M. Fitzpatrick, A.S. Najmaldin.

Departments of Paediatric Surgery & Nephrology, Leeds Teaching Hospitals NHS Trust

Aims: To review early and medium-term outcome and survival of peritoneal dialysis (PD) catheters placed using a novel technique under laparoscopic visualisation.

Methods: A retrospective case-note and clinical review of catheters placed during a 2 year period.

Results: 18 patients underwent 19 operations to place PD catheters between January 2000 and December 2001, using a technique of omentectomy via a supraumbilical incision, and guidance under vision of a ‘peel-away’ sheath. The PD catheter was threaded to place in the supravesical space ensuring a long extraperitoneal tunnel. 1 of the 19 operations was as an emergency for haemolytic uraemic syndrome. 4 of 19 were redo procedures.

The median age was 11 years (0.5 - 17). Median theatre time was 87.5 minutes (60 - 155) with 7 / 19 operations involving . . . [Full text of this article]