Technique of Peritoneal Catheter Placement under Fluroscopic Guidance.
Technique of Peritoneal Catheter Placement under Fluroscopic Guidance.
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DOI：
10.1155/2011/141707
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发表时间：
2011
影响因子：
2.7
通讯作者：
Saddekni S
中科院分区：
文献类型：
--
作者：
Abdel-Aal AK;Gaddikeri S;Saddekni S
腹膜导管主要用于终末期肾病患者的腹膜透析。这种导管的其他用途包括卵巢癌的腹膜内化疗和基因治疗，以及肝硬变患者无法控制的顽固性腹水的引流。传统上，外科医生通过腹腔镜术或开腹手术放置大部分腹膜导管。我们详细介绍了在透视引导下经皮放置腹膜导管的方法。我们强调使用额外的超声引导，包括灰阶和彩色多普勒超声，以确定最安全的穿刺点，并指导初始穿刺针，以避免肠穿孔和对上腹部动脉的损伤。我们介绍了我们的经验放置腹膜导尿管使用这项技术在95名患者的各种适应症。透视引导下经皮放置腹膜导管是一种安全、微创和有效的替代开放手术或腹腔镜放置的方法。
Peritoneal catheters are mainly used for peritoneal dialysis in patients with end-stage renal disease. Other uses of this catheter include intraperitoneal chemotherapy and gene therapy for ovarian cancer and draining of uncontrolled refractory ascites in patients with liver cirrhosis. Traditionally, surgeons place most of these peritoneal catheters either by laparoscopy or open laparotomy. We detail our percutaneous approach to placing peritoneal catheters using fluoroscopic guidance. We emphasize the use of additional ultrasound guidance, including gray scale and color Doppler ultrasound, to determine the safest puncture site and to guide the initial needle puncture in order to avoid bowel perforation and injury to epigastric artery. We present our experience in placing peritoneal catheters using this technique in 95 patients with various indications. Fluoroscopic guided percutaneous placement of peritoneal catheters is a safe, minimally invasive, and effective alternative to open surgical or laparoscopic placement.