title: Outcomes of dialysis catheters placed by the Y-TEC peritoneoscopic technique: a single-center surgical experience.
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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Division of Nephrology, Department of Medicine , Mount Sinai Hospital, Icahn School of Medicine , New York, NY , USA.
authors.forename: Yorg
authors.initials: Y
authors.lastname: Al Azzi
authors.affiliation: Division of Nephrology, Department of Medicine , Mount Sinai Hospital, Icahn School of Medicine , New York, NY , USA.
authors.forename: Etti
authors.initials: E
authors.lastname: Zeldis
authors.affiliation: Division of Nephrology, Department of Medicine , Mount Sinai Hospital, Icahn School of Medicine , New York, NY , USA.
authors.forename: Girish N
authors.initials: GN
authors.lastname: Nadkarni
authors.affiliation: Division of Vascular Surgery, Department of Surgery , Mount Sinai Hospital, Icahn School of Medicine , New York, NY , USA.
authors.forename: Harry
authors.initials: H
authors.lastname: Schanzer
authors.affiliation: Division of Nephrology, Department of Medicine , Mount Sinai Hospital, Icahn School of Medicine , New York, NY , USA.
authors.forename: Jaime
authors.initials: J
authors.lastname: Uribarri
keywords: CAPD; catheter; peritoneal dialysis; peritoneal membrane; peritoneoscopy