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Clin Kidney J. 2016 Feb;9(1):158-61. doi: 10.1093/ckj/sfv113. Epub 2015 Nov 14.

Outcomes of dialysis catheters placed by the Y-TEC peritoneoscopic technique: a single-center surgical experience.

Author information

1
Division of Nephrology, Department of Medicine , Mount Sinai Hospital, Icahn School of Medicine , New York, NY , USA.
2
Division of Vascular Surgery, Department of Surgery , Mount Sinai Hospital, Icahn School of Medicine , New York, NY , USA.

Abstract

BACKGROUND:

In the last few years, peritoneal dialysis (PD) catheter placement techniques and outcomes have become important because of the growing population of PD patients. Although there are a growing number of catheters placed by the minimally invasive Y-TEC peritoneoscopic technique, there are still limited data on outcomes for these catheters, especially those placed by a surgeon. We aimed to conduct a retrospective study of our experience with PD catheters placed by the Y-TEC peritoneoscopic technique in our institution.

METHODS:

We reviewed patients with peritoneoscopic PD catheter insertion over the last decade and described their complications and outcomes. In a secondary analysis, we compared the outcomes and complications of these catheters with those with open placement placed by the same surgeon.

RESULTS:

We had complete data on 62 patients with peritoneoscopic catheter placement during the study period. The mean age was 55 years, 48.4% were females and the most common cause of end-stage renal disease was diabetes mellitus (33%). Surgical complications were seen in only 6/62 (9.6%) and peritonitis in 16/62 (26%) of peritoneoscopic catheters. Most catheters were used after 2 months of placement, while 12.3% were used within 2 months. When compared with 93 patients with open placement of catheters as a secondary analysis, peritoneoscopic catheters were found to have a higher 2-year survival.

CONCLUSION:

Our large series of peritoneoscopically placed catheters by a surgeon demonstrate low surgical complications and peritonitis rates as well as superior 2-year survival compared with open placement of catheters.

KEYWORDS:

CAPD; catheter; peritoneal dialysis; peritoneal membrane; peritoneoscopy

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