Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years
Introduction: The aim of this study was to evaluate patients with end stage renal failure (ESRD) who underwent chronic peritoneal dialysis (CPD). The clinical outcomes of laparoscopic and open placements of catheters were compared. Materials and Methods: We reviewed 49 (18 male and 31 female) childr...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=2;spage=162;epage=166;aulast=Biçakci |
| _version_ | 1831519658418634752 |
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| author | Ünal Biçakci Gürkan Genç Burak Tander Mithat Günaydın Dilek Demirel Ozan Özkaya Rıza Rızalar Ender Arıtürk Ferit Bernay |
| author_facet | Ünal Biçakci Gürkan Genç Burak Tander Mithat Günaydın Dilek Demirel Ozan Özkaya Rıza Rızalar Ender Arıtürk Ferit Bernay |
| author_sort | Ünal Biçakci |
| collection | DOAJ |
| description | Introduction: The aim of this study was to evaluate patients with end stage renal failure (ESRD) who underwent chronic peritoneal dialysis (CPD). The clinical outcomes of laparoscopic and open placements of catheters were compared. Materials and Methods: We reviewed 49 (18 male and 31 female) children with CPD according to age, sex, cause of ESRD, catheter insertion method, kt/V rate, complications, presence of peritonitis, catheter survival rate between January 2002 and February 2014. Results: Thirty-three patients were with open placement and 16 patients were with laparoscopic placement. The rate of the peritonitis is significantly less in patients with laparoscopic access than open access (n = 4 v sn = 25) (P<0.01). Patients with peritonitis were younger than those who had no attack of peritonitis (10.95 ± 0.8 years vs 13.4 ± 0.85 years). According to the development of complications, significant difference has not been found between the open (n = 9) and laparoscopic (n = 3) approaches except the peritonitis. Catheter survival rate for the first year was 95%, and for five years was 87.5%. There was no difference between open and laparoscopic group according to catheter survival rate. The mean kt/V which indicates the effectiveness of peritoneal dialysis was mean 2.26 ± 0.08. No difference was found between laparoscopic and open methods according to kt/V. Conclusion: Laparoscopic placement of CPD results in lower peritonitis rate. Catheter survival rate was excellent in both groups. Single port laparoscopic access for CPD catheter insertion is an effective and safe method. |
| first_indexed | 2024-12-13T17:18:32Z |
| format | Article |
| id | doaj.art-eaf6a439e514467c9c8fb0ba43925b51 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-13T17:18:32Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-eaf6a439e514467c9c8fb0ba43925b512022-12-21T23:37:22ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212016-01-0112216216610.4103/0972-9941.147364Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 yearsÜnal BiçakciGürkan GençBurak TanderMithat GünaydınDilek DemirelOzan ÖzkayaRıza RızalarEnder ArıtürkFerit BernayIntroduction: The aim of this study was to evaluate patients with end stage renal failure (ESRD) who underwent chronic peritoneal dialysis (CPD). The clinical outcomes of laparoscopic and open placements of catheters were compared. Materials and Methods: We reviewed 49 (18 male and 31 female) children with CPD according to age, sex, cause of ESRD, catheter insertion method, kt/V rate, complications, presence of peritonitis, catheter survival rate between January 2002 and February 2014. Results: Thirty-three patients were with open placement and 16 patients were with laparoscopic placement. The rate of the peritonitis is significantly less in patients with laparoscopic access than open access (n = 4 v sn = 25) (P<0.01). Patients with peritonitis were younger than those who had no attack of peritonitis (10.95 ± 0.8 years vs 13.4 ± 0.85 years). According to the development of complications, significant difference has not been found between the open (n = 9) and laparoscopic (n = 3) approaches except the peritonitis. Catheter survival rate for the first year was 95%, and for five years was 87.5%. There was no difference between open and laparoscopic group according to catheter survival rate. The mean kt/V which indicates the effectiveness of peritoneal dialysis was mean 2.26 ± 0.08. No difference was found between laparoscopic and open methods according to kt/V. Conclusion: Laparoscopic placement of CPD results in lower peritonitis rate. Catheter survival rate was excellent in both groups. Single port laparoscopic access for CPD catheter insertion is an effective and safe method.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=2;spage=162;epage=166;aulast=BiçakciChronic Peritoneal diaysiscomplicationopen placementperitonitissingle-port laparoscopic placement |
| spellingShingle | Ünal Biçakci Gürkan Genç Burak Tander Mithat Günaydın Dilek Demirel Ozan Özkaya Rıza Rızalar Ender Arıtürk Ferit Bernay Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years Journal of Minimal Access Surgery Chronic Peritoneal diaysis complication open placement peritonitis single-port laparoscopic placement |
| title | Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years |
| title_full | Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years |
| title_fullStr | Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years |
| title_full_unstemmed | Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years |
| title_short | Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years |
| title_sort | single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children a single center experience over 12 years |
| topic | Chronic Peritoneal diaysis complication open placement peritonitis single-port laparoscopic placement |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=2;spage=162;epage=166;aulast=Biçakci |
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