Two-port laparoscopic placement of a peritoneal dialysis catheter using guideline-based trans-rectus insertion, rectus sheath tunneling, and a dedicated exit site: a technical note
10.7602/jmis.2026.29.2.102
- Author:
Ichiro TAMAKI
1
;
Tatsuki KUSUHARA
;
Yusuke FUKUI
;
Yoshikuni YONENAGA
;
Takashi NITTA
Author Information
1. Department of Surgery, Ako City Hospital, Ako, Japan
- Publication Type:TECHNICAL NOTE
- From:Journal of Minimally Invasive Surgery
2026;29(2):102-106
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe a simple modification of the two-port laparoscopic technique for peritoneal dialysis (PD) catheter placement incorporating guideline-recommended trans-rectus insertion and dedicated exit-site design. A 5-mm trocar is inserted through a small trans-rectus incision using an open (Hasson) technique and subsequently serves as the final catheter insertion site.After placement of the first port, a second 5-mm port is safely inserted at the planned superficial cuff site under laparoscopic guidance and subsequently serves as the camera port for the remainder of the procedure. After laparoscopic inspection, the PD catheter is introduced along an oblique trans-rectus pathway to enhance catheter stability, and the superficial cuff is secured at the port site. The catheter is then directed through a subcutaneous tunnel and exteriorized through a small exit site. This modification provides a simple and reproducible option for PD catheter placement.
