Randomized prospective comparison of laparoscopic and open peritoneal dialysis catheter insertion
Wright, M.J.; Bel'eed, K.; Johnson, B.F.; Eadington, D.W.; Sellars, L.; Farr, M.J.
Peritoneal Dialysis International Journal of the International Society for Peritoneal Dialysis 19(4): 372-375
1999
ISSN/ISBN: 0896-8608 PMID: 10507820 Document Number: 508622
To compare laparoscopic and conventional peritoneal dialysis catheter insertion with respect to post operative discomfort, complication rates, and catheter survival. Randomized prospective study. Tertiary referral renal unit. Fifty patients commencing peritoneal dialysis. Catheters were implanted laparoscopically or by a conventional surgical technique. The duration of surgery, hospital stay, pain scores, and analgesic requirements were recorded. Complications (early/late) and catheter survival were compared. The conventional procedure was faster than the laparoscopic (14.3 vs 21.9 minutes, p < 0.0001). There was no difference in any other parameter assessed. The data suggest that the insertion techniques are equivalent, and that laparoscopic insertion does not reduce early complication rates.