Comparing the outcomes of open surgical procedure and percutaneously peritoneal dialysis catheter (PDC) insertion using laparoscopic needle

Abstract

• BACKGROUND: This study was performed to compare the outcomes of open surgical procedure and percutaneously peritoneal dialysis catheter (PDC) insertion by using laparoscopic needle.
• METHODS: This randomized clinical trial study was conducted in the Department of Nephrology of Alzahra in Isfahan, Iran during 2009 and 2010. 64 uremic patients were randomized by random allocation software into two study groups. Thirty four catheters were inserted percutaneously (P group) and 30 catheters were placed surgically (S group). Information were collected included demographic data, body mass index, cause of renal disease, duration of operation, and time of hospital stay. Outcomes were considered as mechanical and infectious complications.
• RESULTS: There were no significant differences in age, gender, the mean of body mass index, positive history hemodialysis, diabetes mellitus, hypertension, ischemic heart disease, and time of hospital stay. Hemopenitoneom was more frequent in S group than P group (13.3% versus 3.2%; p < 0.0001). There were no significant difference between two groups in early peritonitis, early leakage, hernia, hollow viscous perforation, catheter obstruction, and malpositioning and the time of peritoneal dialysis onset. Outflow failure and the exit site infection was more frequent in S group than P group (p < 0.0001). Mean of the operative time was longer in S group than P group (27.70 ± 2.79 minutes versus 10.48 ± 1.91 minutes; p < 0.001).
• CONCLUSIONS: Percutaneous catheter insertion in comparison to surgical method had the fewer rate of complication and less time consuming.
• KEYWORDS:Laparoscopic needle, Split sheath, Percutaneous, Peritoneal dialysis.