Laparoscopic interventions in children on peritoneal dialysis

Maria Szczepańska; Wojciech Korlacki; Krystyna Szprynger; Andrzej Grabowski; Elżbieta Trembecka-Dubel

doi:10.5114/wiitm.2010.18829

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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Original paper

Laparoscopic interventions in children on peritoneal dialysis

Maria Szczepańska, Wojciech Korlacki, Krystyna Szprynger, Andrzej Grabowski, Elżbieta Trembecka-Dubel

Videosurgery and other miniinvasive techniques 2010; 5 (4): 152-157

DOI: https://doi.org/10.5114/wiitm.2010.18829

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AMA

Szczepańska M, Korlacki W, Szprynger K, Grabowski A, Trembecka-Dubel E. Laparoscopic interventions in children on peritoneal dialysis. Videosurgery and Other Miniinvasive Techniques. 2010;5(4):152-157. doi:10.5114/wiitm.2010.18829.

APA

Szczepańska, M., Korlacki, W., Szprynger, K., Grabowski, A.,  & Trembecka-Dubel, E. (2010). Laparoscopic interventions in children on peritoneal dialysis. Videosurgery and Other Miniinvasive Techniques, 5(4), 152-157. https://doi.org/10.5114/wiitm.2010.18829

Chicago

Szczepańska, Maria, Wojciech Korlacki, Krystyna Szprynger, Andrzej Grabowski,  and Elżbieta Trembecka-Dubel. 2010. "Laparoscopic interventions in children on peritoneal dialysis". Videosurgery and Other Miniinvasive Techniques 5 (4): 152-157. doi:10.5114/wiitm.2010.18829.

Harvard

Szczepańska, M., Korlacki, W., Szprynger, K., Grabowski, A.,  and Trembecka-Dubel, E. (2010). Laparoscopic interventions in children on peritoneal dialysis. Videosurgery and Other Miniinvasive Techniques, 5(4), pp.152-157. https://doi.org/10.5114/wiitm.2010.18829

MLA

Szczepańska, Maria et al. "Laparoscopic interventions in children on peritoneal dialysis." Videosurgery and Other Miniinvasive Techniques, vol. 5, no. 4, 2010, pp. 152-157. doi:10.5114/wiitm.2010.18829.

Vancouver

Szczepańska M, Korlacki W, Szprynger K, Grabowski A, Trembecka-Dubel E. Laparoscopic interventions in children on peritoneal dialysis. Videosurgery and Other Miniinvasive Techniques. 2010;5(4):152-157. doi:10.5114/wiitm.2010.18829.

Introduction : The benefits of peritoneal dialysis (PD) are multiple. However, it is connected with the risk of numerous complications, both infectious and non-infectious. Laparoscopic interventions in children on PD have seldom been presented.

Aim : To analyse laparoscopic interventions in 23 children (mean age 10.2 ±5.2 years) treated with PD.

Methods : Performed procedures (30) included: diagnostic (explorative) laparoscopy, laparoscopic replacement of the catheter and laparoscopic recanalisation of occluded catheter.

Results : In 29 cases laparoscopy with reduced invasive procedures was completed. During surgery 5 catheters were removed. In 16 cases of catheter malfunction, omental wrap releasing, recanalization and/or reposition was done, including omentectomy in 9 cases. In 6 cases of acute abdomen symptoms, 3 adhesiolysis procedures in bowel obstruction, 2 appendectomies and in 1 case laparoscopic reduction of intussusception were done. There were no intraoperative complications. After surgery PD was continued in 19 children. Catheter survival rate was 261 ±297 days. Laparoscopic surgery had no influence on peritoneal permeability or adequacy of PD treatment.

Conclusion : Laparoscopic technique is highly effective in children on PD especially related to catheter malfunction. It is an excellent option that enables restarting of PD shortly after the surgery.

keywords:

Laparoscopic interventions in children on peritoneal dialysis

Maria Szczepańska, Wojciech Korlacki, Krystyna Szprynger, Andrzej Grabowski, Elżbieta Trembecka-Dubel

peritoneal dialysis, children, laparoscopy