PDF(Pubmed)
Abstract：
The placement of a peritoneal dialysis catheter (PDC) is currently a common procedure in pediatric surgeon practice, and the search for the ultimate technique never stops. The purpose of this study is to evaluate our experience with the laparoscopic PDC placement approach, performing a \"2+1\" (\"two plus one\") technique, where the \"+1\" trocar is placed in an oblique manner, pointing toward the Douglas pouch when passing through the abdominal wall. This tunnel is further used to place and maintain the proper position of the PDC.
METHODS: We assessed a cohort of five children who underwent laparoscopic-assisted PDC placement between 2018 and 2022.
RESULTS: This procedure is a simple, relatively quick, and safe technique for PDC placement. Furthermore, in our experience, concomitant omentectomy is necessary to reduce the risk of catheter obstruction and migration due to omental wrapping.
CONCLUSIONS: The laparoscopic approach allows for improved visualization and more accurate placement of a catheter inside the abdominal cavity. Concomitant omental excision is necessary to prevent PDC malfunction and migration.
METHODS: We assessed a cohort of five children who underwent laparoscopic-assisted PDC placement between 2018 and 2022.
RESULTS: This procedure is a simple, relatively quick, and safe technique for PDC placement. Furthermore, in our experience, concomitant omentectomy is necessary to reduce the risk of catheter obstruction and migration due to omental wrapping.
CONCLUSIONS: The laparoscopic approach allows for improved visualization and more accurate placement of a catheter inside the abdominal cavity. Concomitant omental excision is necessary to prevent PDC malfunction and migration.
摘要：
腹膜透析导管（PDC）的放置目前是儿科外科医生实践中的常见程序，对终极技术的探索永远不会停止。这项研究的目的是评估我们对腹腔镜PDC放置方法的经验，执行“2+1”(“二加一”)技术，其中\"+1\"套管针倾斜放置,穿过腹壁时指向道格拉斯袋。该隧道还用于放置和保持PDC的适当位置。
方法：我们评估了2018年至2022年间接受腹腔镜辅助PDC置入的5名儿童的队列。
结果：这个过程很简单，相对较快,以及PDC放置的安全技术。此外，根据我们的经验,同时进行网膜切除术是必要的，以减少由于网膜包裹引起的导管阻塞和迁移的风险。
结论：腹腔镜方法可以改善可视化并更准确地将导管放置在腹腔内。伴随网膜切除对于防止PDC功能障碍和迁移是必要的。
方法：我们评估了2018年至2022年间接受腹腔镜辅助PDC置入的5名儿童的队列。
结果：这个过程很简单，相对较快,以及PDC放置的安全技术。此外，根据我们的经验,同时进行网膜切除术是必要的，以减少由于网膜包裹引起的导管阻塞和迁移的风险。
结论：腹腔镜方法可以改善可视化并更准确地将导管放置在腹腔内。伴随网膜切除对于防止PDC功能障碍和迁移是必要的。
