Laparoscopic technique: intervention for peritoneal dialysis-related diseases

We explored minimally invasive laparoscopic treatment for early-stage complications of peritoneal dialysis. Between January 2013 and September 2018, 817 patients were treated with peritoneal dialysis in our inpatient department. We included 40 patients who were hospitalized between January 2013 and September 2018 after failed conservative treatment of peritoneal dialysis complications. Laparoscopic extubation and laparoscopic greater omentum suspension were performed in 26 and 14 cases, respectively. Data of patients who needed extubation of abdominal cavity infection were reviewed. Postoperative peritoneal dialysis duration was 78.5±51.1 weeks, abdominal infection duration was 4.8±6.2 days, and the recurrence rate was 0%. A retrospective review of patients with blocked peritoneal dialysis catheter and the need for surgical treatment revealed: mean preoperative peritoneal dialysis duration, 36.9±110.8 days; catheter closure time, 4.8±3.8 days; and recurrence rate, 7.1%. Early intervention for peritoneal dialysis-related complications by laparoscopy is safer and results in less trauma, few complications, and low recurrence rates.