Laparoscopic Retrograde Peritoneal Dialysis Catheter Insertion: Technique and Outcomes
Prinya Akranurakkul MD*, Dolrudee Songtish MD*, Jirayut Janma MD**, Siribpa Changsirikulchai MD**
Affiliation : * Department of Surgery, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand ** Department of Medicine, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand
Objective : The study aimed to present technique and outcomes of laparoscopic retrograde peritoneal dialysis catheter
insertion in chronic kidney disease (CKD) patients.
Material and Method: We retrospectively reviewed 11 complicated CKD patients, who underwent both laparoscopic and
laparoscopic retrograde peritoneal dialysis catheter (lap PD, r-lap PD) insertion at HRH Princess Maha Chakri Sirindhorn
Medical Center during April 2013 to March, 2016. Technique, outcomes and complications were presented.
Results : After a follow-up period of 14 months in patients who underwent lap PD insertion, there was no infection, bleeding
complication, or hernia presented. Dialysate leakage after immediate dialysis was found in one r-lap PD insertion patient but
healed spontaneously. No catheter removal or revision was observed.
Conclusion : The described r-lap PD catheter insertion technique was straightforward, effective and reproducible. Though
the sample size was limited, the procedure can used as an alternate in complicated CKD patients.
Keywords : Peritoneal dialysis, Laparoscopic insertion, Renal replacement therapy, Peritoneal dialysis catheter
