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Published in: Surgical Endoscopy 1/2005

01-01-2005 | Original article

Comparison of open and laparoscopic secure placement of peritoneal dialysis catheters

Authors: P. Soontrapornchai, T. Simapatanapong

Published in: Surgical Endoscopy | Issue 1/2005

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Abstract

Background

A major and frustrating complication of peritoneal dialysis catheter placement is mechanical outflow obstruction, which may be caused by catheter tip migration. Therefore, a secure and correct positioning of the catheter is important to minimize this risk. This technique is easily accomplished by a laparoscopic approach.

Methods

The outcomes of 50 patients in whom peritoneal dialysis catheters were inserted laparoscopically with a secure catheter placement technique were compared with those of 52 patients who underwent an open surgical technique using a stiff wire as guidance for the catheter. The data were prospectively collected but not randomized. All the patients had virgin abdomens, and all the procedures were undertaken or supervised by one surgeon.

Results

Catheter migration occurred in six patients (12%) in the open group, as compared with none in the laparoscopic group (p = 0.027). There were no significant differences in catheter survival between the two groups.

Conclusions

The laparoscopic technique with secure placement of the catheter lowered the incidence of catheter migration, but did not increase the catheter survival.
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Metadata
Title
Comparison of open and laparoscopic secure placement of peritoneal dialysis catheters
Authors
P. Soontrapornchai
T. Simapatanapong
Publication date
01-01-2005
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 1/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-004-8156-y

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