title: Randomized prospective comparison of laparoscopic and open peritoneal dialysis catheter insertion.
abstract: OBJECTIVE
  To compare laparoscopic and conventional peritoneal dialysis catheter insertion with respect to post operative discomfort, complication rates, and catheter survival.
  
  
  METHODS
  Randomized prospective study.
  
  
  METHODS
  Tertiary referral renal unit.
  
  
  METHODS
  Fifty patients commencing peritoneal dialysis.
  
  
  METHODS
  Catheters were implanted laparoscopically or by a conventional surgical technique.
  
  
  METHODS
  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.
authors.affiliation: Department of Renal Medicine, Hull Royal Infirmary, United Kingdom.
authors.forename: M J
authors.initials: MJ
authors.lastname: Wright
authors.forename: K
authors.initials: K
authors.lastname: Bel'eed
authors.forename: B F
authors.initials: BF
authors.lastname: Johnson
authors.forename: D W
authors.initials: DW
authors.lastname: Eadington
authors.forename: L
authors.initials: L
authors.lastname: Sellars
authors.forename: M J
authors.initials: MJ
authors.lastname: Farr
mesh_terms: D002404:Catheterization / Q000009:adverse effects / Q000379:methods*; D002408:Catheters, Indwelling / Q000009:adverse effects; D020878:Device Removal; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000379:methods*; D011446:Prospective Studies; D016019:Survival Analysis