Comparative Study of Outcomes Following Laparoscopic Versus Open Peritoneal Dialysis Catheter Insertion at a Tertiary Care Centre

Abstract: Objective: Continuous ambulatory peritoneal dialysis is a common treatment mode in patients with end-stage renal disease. Various insertiontechniques of continuous ambulatory peritoneal dialysis catheters have been described in the literature, including percutaneous, open andlaparoscopic techniques, with no consensus about the preferred operative technique.Materials and Methods: Between August 2016 and March 2018, 50 patients undergoing catheter insertion were randomised to insertion by eitherthe open technique or laparoscopy. The demographic, preoperative and postoperative profiles of these patients were recorded and patients werefollowed up for six weeks postoperatively. The Pearson chi-square test was used to compare the results with historical controls. Fisher’s Exact testwas used to assess the incidence of surgical complications. The significance level was set at 0.05.Results: A comparison between the two groups indicated that the only significant difference was in postoperative pain on postoperative evening,lower in the laparoscopic group and statistically significant (p<0.05). There was no statistically significant difference in catheter tip migration,catheter exit-site infection, catheter-associated peritonitis or catheter functional status between the two techniques.Conclusion: The laparoscopic technique does not provide any additional advantage than the open technique in patients undergoing continuousambulatory peritoneal dialysis catheter placement

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Belge Türü: DergiMakale Türü: Araştırma MakalesiErişim Formatı: Erişime Açık

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