Randomized prospective comparison of laparoscopic and open peritoneal dialysis catheter insertion.
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.
Wright
M J
MJ
Department of Renal Medicine, Hull Royal Infirmary, United Kingdom.
Bel'eed
K
K
Johnson
B F
BF
Eadington
D W
DW
Sellars
L
L
Farr
M J
MJ
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