Laparoscopic Continuous Ambulatory Peritoneal Dialysis (CAPD) Catheter Placement Using a Two-Port Method in Adult End-stage Renal Disease (ESRD) Patients: Early Experience

Purpose: Laparoscopy is being w idely utilized beyond the field of surgery.W e report on the early experience of laparoscopic CAPD catheter placem ent in adult ESRD patients.In addition, w e investigate the question of w hether laparoscopic CAPD catheter insertion can be used as a feasible long-term procedure.Methods: Laparoscopic CAPD catheter placem ent w as perform ed in 28 patients by one surgeon, betw een June, 2010 and O ctober, 2013, and observed.A retrospective outcom e study w as conducted based on review of m edical records.Results: A total of 28 laparoscopic procedures w ere perform ed.The m ean age of patients w ho underw ent laparoscopic placem ent of a catheter w as 60.3 years old.The m ost com m on cause of ESRD w as uncontrolled hypertension combined w ith diabetes.The procedure took 45.7 m inutes.Peritoneal dialysis w as introduced on postoperative day eight, after one w eek of daily w ashing and no dialysate leaks w ere observed.Tw o incidences of catheter-related com plications w ere observed: one incidence of catheter obstruction (due to its m igration and om ental w rapping, w hich w as m anaged w ith surgical rem oval) and one incidence of peritonitis (w hich w as controlled w ith antibiotics).Conclusion: Laparoscopic CAPD catheter placem ent using tw o ports is a sim ple procedure w ith m inim al com plication.Laparoscopic CAPD catheter placem ent w ill gain greater acceptance as an alternative to the traditional m ethod of CAPD catheter placem ent.