@Article{Szczepańska2010,
journal="Videosurgery and Other Miniinvasive Techniques",
issn="1895-4588",
year="2010",
title="Laparoscopic interventions in children on peritoneal dialysis",
abstract=" 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.",
author="Szczepańska, Maria
and Korlacki, Wojciech
and Szprynger, Krystyna
and Grabowski, Andrzej
and Trembecka-Dubel, Elżbieta",
pages="152--157",
doi="10.5114/wiitm.2010.18829",
url="http://dx.doi.org/10.5114/wiitm.2010.18829"
}