Short-term survey of 6 cases of peritoneal dialysis catheter (PD catheter) insertion using flexible cystoscope

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  • 軟性膀胱鏡を用いた腹膜透析用カテーテル（PDカテーテル）挿入法6例の短期使用成績調査
  • ナンセイ ボウコウキョウ オ モチイタ フクマク トウセキヨウ カテーテル(PD カテーテル)ソウニュウホウ 6レイ ノ タンキ シヨウ セイセキ チョウサ

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Abstract

<p>In order to safely place a peritoneal dialysis (PD) catheter in the pelvic cavity, we performed PD catheter insertion using a flexible cystoscope. Here, we report the method, complications, and short-term results. This method involves a flexible cystoscope being inserted through the conventional peritoneal incision for a PD catheter without the need for any additional incision. Between December 2015 and December 2017, it was performed in 6 cases at the operatorʼs discretion. All procedures were completed without any notable adverse events. Compared with 10 conventional procedures performed in the same period, there was no significant difference in patient background, perioperative time, amount of bleeding, or complications. However, the PD continuation rate was significantly prolonged in the flexible cystoscope group (p＝0.019). Based on this case study, PD catheter insertion using a flexible cystoscope does not require an insufflation device, and the catheter can be placed relatively safely and reliably.</p>

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