Case Report
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World J Gastrointest Surg. Oct 27, 2013; 5(10): 268-271
Published online Oct 27, 2013. doi: 10.4240/wjgs.v5.i10.268
Laparoscopic-assisted catheter insertion for continuous ambulatory peritoneal dialysis: A case report of simple technique for optimal placement
Tomohide Hori, Masaya Nakauchi, Kazuhiro Nagao, Fumitaka Oike, Takahiro Tanaka, Daigo Gunji, Noriyuki Okada
Tomohide Hori, Masaya Nakauchi, Fumitaka Oike, Takahiro Tanaka, Daigo Gunji, Noriyuki Okada, Department of Surgery, Mitsubishi Kyoto Hospital, Kyoto 615-8507, Japan
Kazuhiro Nagao, Department of Internal Medicine, Mitsubishi Kyoto Hospital, Kyoto 615-8507, Japan
Author contributions: Hori T and Nakauchi M performed this surgery; Nagao K cared for the patient perioperatively; Okada N, Oike F, Tanaka T, and Gunji D helped to perform this surgery and worked with the laparoscopic program in our institution; Hori T wrote this paper.
Correspondence to: Tomohide Hori, MD, PhD, Department of Surgery, Mitsubishi Kyoto Hospital, 1 Katsuragosho-cho, Nishikyo-ku, Kyoto 615-8507, Japan. horit@kuhp.kyoto-u.ac.jp
Telephone: +81-75-3812111 Fax: +81-75-3927952
Received: August 13, 2013
Revised: September 15, 2013
Accepted: October 16, 2013
Published online: October 27, 2013
Core Tip

Core tip: Continuous ambulatory peritoneal dialysis (CAPD) is currently considered the preferred choice for dialytic treatment, based on improved quality of life and patient survival. The open surgical technique for tube placement is easy, though a painful large incision is needed and unexpected tube dislocation may occur. Minimally invasive technique and optimal tube position should be guaranteed in the placement of CAPD catheters. We suggested that placement of CAPD catheters by laparoscopic-assisted surgery has clear advantages in simplicity, safety, flexibility, and certainty. Here, we present our surgical procedures and discuss key techniques and pitfalls with literature review.