2024 Volume 37 Issue 1 Pages 113-117
【Introduction and Methods】Postoperative complications of continuous ambulatory peritoneal dialysis (CAPD) catheter placement, such as catheter malposition and peritoneal dialysis-related infections, pose significant challenges. We conducted a study evaluating the effectiveness of laparoscopic CAPD catheter placement using the abdominal wall anchor technique (PWAT) in preventing these complications.
【Results】The study included 25 male and 32 female cases, with a median age of 59 years (range : 35-87 years). The 5-year CAPD continuation rate was 65.4％. Postoperative complications included peritonitis in 9 cases (15.8％), exit site or tunnel infections in 8 cases (14.0％), and catheter malposition in 1 case (1.8％). The factor associated with postoperative infections was found to be related to Body Mass Index.
【Conclusion】The findings suggest that laparoscopic CAPD catheter placement using PWAT is a valuable technique with an exceptionally low incidence of catheter malposition.
