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Perit Dial Int. 1999 Jul-Aug;19(4):372-5.

Randomized prospective comparison of laparoscopic and open peritoneal dialysis catheter insertion.

Author information

1
Department of Renal Medicine, Hull Royal Infirmary, United Kingdom.

Abstract

OBJECTIVE:

To compare laparoscopic and conventional peritoneal dialysis catheter insertion with respect to post operative discomfort, complication rates, and catheter survival.

DESIGN:

Randomized prospective study.

SETTING:

Tertiary referral renal unit.

PATIENTS:

Fifty patients commencing peritoneal dialysis.

INTERVENTION:

Catheters were implanted laparoscopically or by a conventional surgical technique.

MAIN OUTCOME MEASURES:

The duration of surgery, hospital stay, pain scores, and analgesic requirements were recorded. Complications (early/late) and catheter survival were compared.

RESULTS:

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.

CONCLUSIONS:

The data suggest that the insertion techniques are equivalent, and that laparoscopic insertion does not reduce early complication rates.

PMID:
10507820
[Indexed for MEDLINE]

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