Abstract
Advanced peritoneal dialysis catheter tip translocation leads to difficulty in infusion and drainage, body weight gain and so on. Additionally, the catheter function will be completely lost by involving the omentum. Thus, it is sometimes inevitable that catheter extraction and reinsertion, or switch to hemodialysis. Therefore, catheter shape and α replacement therapy have been devised for prevention/therapy for catheter tip translocation. However, its effect on advanced catheter tip translocation was limited.
Herein, we report a laparoscopic peritoneal wall anchor technique (PWAT) for peritoneal catheter tip translocation. This is a method of fixing the catheter downward in the peritoneal cavity after inserting a fixed stitch through a cannula from the body surface under laparoscopic assistance. In this method, suture in the peritoneal cavity and consequent insertion of a suture needle or scissor forceps into the peritoneal cavity is unnecessary. In other words, this method does not require any special equipment, so that it can be performed both simply and safely. Moreover, it offers the advantage of allowing extraction of the catheter without intra-abdominal surgery, if the catheter extraction should be required.
We report two cases in this article. One involved preventive treatment in a newly introduced patient with intra-abdominal adhesion due to previous intra-abdominal operation. The other involved an intractable case, in which α replacement therapy had been performed twice without improvement of catheter tip translocation.
