Abstract:

 Objective：To evaluate the clinical feasibility, safety and effect of the ureteroscope assistant placement of peritoneal dialysis catheters in patients with end stage renal disease (ESRD). Methodology: Thirty two consecutive ESRD patients underwent ureteroscope assistant placement of peritoneal dialysis catheters. Informed consent form was signed by patients under principle of voluntary. All patients were eligible to receive local infiltration anesthesia. Ureteroscopic monitoring was performed via a peer-away sheath through an incision near the umbilicus. A catheter was passed through the peer-away sheath into the true pelvis. A subcutaneous tunnel was created and a point in left lower quadrant was selected as the exit site of the catheter. Results: All the catheters were successfully placed and the mean time of operation was (42±15) minutes. The dose of additional local anesthetics during procedure is 20% lidocaine (13±5) milliliter. Blood loss was very little in operation. Only 4 cases presented the ascites with little red blood cells which lasted (16±5) hours. During mean follow-up period of 12 months, there were no catheter-related complications, such as catheter migration, obstruction, and dialysate leakage. Conclusions: The ureteroscope assistant placement of peritoneal dialysis catheters is worthy to be popularized for it’s safty and effectiveness in end stage renal disease (ESRD) patients.

Key words: end stage renal disease, ureteroscopem, , peritoneal dialysis