Peritoneal dialysis catheters: laparoscopic versus traditional placement techniques and outcomes

Aakash H. Gajjar, Diane H. Rhoden, Pranay Kathuria, Rajat Kaul, A. Deviprakash Udupa, William C. Jennings

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

Background: Peritoneal dialysis is used for renal replacement therapy in over 25,000 patients in the United States. Some authors have recommended laparoscopic guidance for peritoneal dialysis catheter (PDC) placement, although consensus statements have not favored a specific technique. This study reviews outcomes in patients in whom placement was performed by the traditional "blind" technique (B-PDC) versus the laparoscopic technique (L-PDC). Methods: Records were retrospectively reviewed of 25 consecutive PDC patients in each of 3 university-affiliated tertiary medical center hospitals. Data for PDCs placed by B-PDC (n = 30) or L-PDC (n = 45) technique were reviewed and the outcomes compared. Results: L-PDCs offered 97.8% immediate functional success as opposed to 80% with B-PDC placement (P = .014). In addition, laparoscopic placement of peritoneal dialysis catheters had a lower incidence of PDC revision or replacement (P = .035). Conclusion: L-PDCs were found to have a higher immediate functional success rate than B-PDCs and a lower incidence of catheter revision or replacement.

Original languageEnglish (US)
Pages (from-to)872-876
Number of pages5
JournalAmerican Journal of Surgery
Volume194
Issue number6
DOIs
StatePublished - Dec 1 2007

Keywords

  • Laparoscopic placement
  • Laparoscopy
  • Peritoneal dialysis
  • Peritoneal dialysis catheter
  • Renal failure
  • Tenckhoff catheter

ASJC Scopus subject areas

  • Surgery

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