A study on the effectiveness of laparoscopic continuous ambulatory peritoneal dialysis catheter placement using peritoneal wall anchor technique

• Published in: Japanese Journal of Endourology and Robotics Vol. 37; no. 1; pp. 113 - 117
• Main Authors: 山中 和明, 中澤 成晃, 加藤 大悟, 波多野 浩士, 角田 洋一, 河嶋 厚成, 福原 慎一郎, 野々村 祝夫
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society of Endourology and Robotics 2024; 一般社団法人 日本泌尿器内視鏡・ロボティクス学会
• Subjects: 慢性腎不全; 腹壁アンカー技術; 腹腔鏡下持続携帯式腹膜透析カテーテル留置術
• ISSN: 2436-875X
• DOI: 10.11302/jserjje.37.1_113

【Introduction and Methods】Postoperative complications of continuous ambulatory peritoneal dialysis (CAPD) catheter placement, such as catheter malposition and peritoneal dialysis-related infections, pose significant challenges. We conducted a study evaluating the effectiveness of laparoscopic CAPD catheter placement using the abdominal wall anchor technique (PWAT) in preventing these complications.【Results】The study included 25 male and 32 female cases, with a median age of 59 years (range : 35-87 years). The 5-year CAPD continuation rate was 65.4％. Postoperative complications included peritonitis in 9 cases (15.8％), exit site or tunnel infections in 8 cases (14.0％), and catheter malposition in 1 case (1.8％). The factor associated with postoperative infections was found to be related to Body Mass Index.【Conclusion】The findings suggest that laparoscopic CAPD catheter placement using PWAT is a valuable technique with an exceptionally low incidence of catheter malposition.