Peritonealdialyse-Katheter-Implantation – Tipps und Tricks zur laparoskopisch assistierten Technik

Bei der Peritonealdialyse-Katheter-Implantation gibt es viele verschiedene Methoden. Die größte Variationsbreite besteht bei der laparoskopischen Methode. In dieser Arbeit wird im Detail die in Straubing angewandte Methode der laparoskopisch assistierten Peritonealdialyse-Katheter-Implantation in Seldingertechnik dargestellt. Für den Erfolg ist es entscheidend, die vielen kleinen Details zu beachten und die Vorgehensweise mit dem Nephrologen abzusprechen.

Several methods of catheter implantation are performed. Most of the variations are found among the laparoscopic procedures. This article gives a detailed description of the method used in Straubing. It is done by laparoscopic assistance and seldinger technique. It is a technical easy operation, but many details are important for success. A close cooperation with the nephrologists is also very important.

Key words

peritoneal dialysis catheter - laparoscopic implantation - seldinger technique - single cuff catheter - coiled catheter

Literatur

• 1 de la Cruz MC, Dimkovic N, Barman JM et al.. Is catheter function influenced by the side of the body in which the peritoneal dialysis catheter is placed?.  Perit Dial Int. 2001;  21 526
• 2 Crabtree JH. The use of the laparoscope for dialysis catheter implantation: valuable carry-on or excess baggage?.  Perit Dial Int. 2009;  29 394-406
• 3 Wong FSY. Use of cleansing agents at the peritoneal catheter exit site.  Perit Dial Int. (S 02) 2003;  23
• 4 Perl J, Jassal SV, Bargman JM. Peristent peritoneal dialysis catheter exit-site leak in a patient receiving maintenance immunosuppression with sirolimus.  Clin Transplant. 2008;  22 672-673

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