کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4163998 1274322 2006 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Single-port laparoscopic insertion of peritoneal dialysis catheters in children
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Single-port laparoscopic insertion of peritoneal dialysis catheters in children
چکیده انگلیسی

PurposeTo assess the effectiveness and complication rate of laparoscopically placed peritoneal dialysis catheters using the single-port technique.Material and methodsThis is a prospective study conducted from 2002 to 2004. Children with established renal failure requiring insertion of a peritoneal dialysis catheter were included. The insertion was performed by a single surgeon using a single-port laparoscopic technique. Partial omentectomy was performed and the catheter accurately placed in the pelvis under vision. The catheter could then be used immediately postoperatively.ResultsTwenty-two children (13F:9M) with a mean age of 9 years (range 1.0–17.5) had a peritoneal dialysis catheter inserted laparoscopically between 2002 and 2004. Mean time for insertion was 26 min (range 23–29 min). Ten (45%) catheters were used within 4 h. Early complications included a minor leak that resolved within 24 h, one exit-site infection that resolved with oral flucloxacillin, one blockage due to a fibrin clot that resolved with urokinase, and one blockage after 2 weeks due to adhesions (not omentum) that was revised.ConclusionsLaparoscopic insertion of a peritoneal dialysis catheter allows accurate placement of the catheter under direct vision, immediate use postoperatively with minimum morbidity, and good cosmesis. The single-port laparoscopic technique is a safe, effective and quick technique for use in children.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Urology - Volume 2, Issue 4, August 2006, Pages 308–311
نویسندگان
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