Comparative Study on Flexible Ureteroscope Guided Peritoneal Dialysis Catheter Placement
10.3969/j.issn.1009-6604.2024.01.006
- VernacularTitle:输尿管软镜引导腹膜透析管置入的比较研究
- Author:
Xiaozhou HAN
1
;
Cheng ZHAO
;
Jin QIU
;
Jianxin LIU
;
Shan LIN
;
Yong ZHANG
;
Changhai TIAN
;
Wang LIU
;
Huajun HU
Author Information
1. 上海中医药大学附属上海市中西医结合医院泌尿外科,上海 200082
- Keywords:
Peritoneal dialysis;
Flexible ureteroscope;
Catheter placement
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(1):29-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of peritoneal dialysis catheter placement assisted by flexible ureteroscope.Methods A retrospective analysis was conducted on clinical data of 54 cases of end-stage renal disease receiving peritoneal dialysis catheter placement from May 2019 to March 2023.The placement method was chosen by the patient.In the conventional group,23 cases were guided by a metal guide wire for insertion of the peritoneal dialysis catheter,while in the flexible ureteroscope group,31 cases were guided by flexible ureteroscope instead of guide wire for insertion of the peritoneal dialysis catheter.The success rate of catheterization,surgical time,use of postoperative analgesic,complications related to peritoneal dialysis catheter,and postoperative creatinine decrease were compared between the two groups.Results The catheter placement was successfully performed in both groups.The total incidence of complications related to peritoneal dialysis catheter in the flexible ureteroscope group was lower than that in the conventional group[6.5%(2/31)vs.30.4%(7/23),χ2 =3.878,P =0.049].Between the conventional group and the flexible ureteroscope group,there were no statistically significant differences in the surgical time,postoperative analgesic usage,and the decrease of creatinine at 2 weeks after surgery(P>0.05).The median postoperative follow-up period was10 months(range,3-24 months)in the two groups,and there were no complications such as peritoneal leakage,intestinal perforation,or intraperitoneal bleeding.Conclusion The placement of peritoneal dialysis catheter guided by the flexible ureteroscope instead of metal guide wire is a safe,visible,and accurate method,which can reduce complications related to peritoneal dialysis catheter,and detect and manage comorbidities in the abdominal cavity.
