Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Comparison of the Complications of Open Surgery Versus Laparoscopic Technique in Insertion of Peritoneal Dialysis Catheter Publisher



Shahbandari M1 ; Amiran A1
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of General Surgery, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Research in Medical Sciences Published:2019


Abstract

Background: Invention of peritoneal dialysis (PD) has opened new windows for patients under dialysis due to its fewer time requirement and being ambulatory in comparison to hemodialysis. Open surgery and laparoscopic technique have been utilized for peritoneal catheter embedding; however, data about the superior technique are controversial. This study aimed to assess the outcomes of open surgery versus laparoscopic technique and compare their complications in those with survival of over and less than a year in patients who need PD for the first time. Materials and Methods: This randomized clinical trial study was conducted on 121 cases admitted for PD. Patients were randomly divided into two groups undergoing either open or laparoscopic surgery for embedding PD catheter. Patients' demographics, as well as PD function and complications, were followed for a 12-month duration and compared between the two groups. Results: Catheter survival for over 12 months occurred in 39 patients (65%) underwent laparoscopic surgery, and 45 (73.8%) patients underwent open surgery (P = 0.09). Complications, including catheter obstruction, leak, abdominal hernia, and peritonitis, were not statistically different between the two techniques over 12 months of survival (P > 0.05). Complications among the catheters with less than a year survival, including obstruction, leak, catheter displacement, hernia, and peritonitis, were not significantly different comparing open surgery with laparoscopic technique (P > 0.05). Conclusion: Considering complications, PD catheter implantation through laparoscopic surgery was not statistically different from open surgery, neither for those with less than 12 months of survival nor for those with over a year. © 2020 Georg Thieme Verlag. All rights reserved.
Related Docs
View other Related Docs
1. Comparing the Outcomes of Open Surgical Procedure and Percutaneously Peritoneal Dialysis Catheter (Pdc) Insertion Using Laparoscopic Needle: A Two Month Follow-Up Study, Journal of Research in Medical Sciences (2011)
2. A Novel Method for Salvage of Malfunctioning Peritoneal Dialysis Catheter, Urology Annals (2014)
3. Comparison of Percutaneous Versus Open Surgical Techniques for Placement of Peritoneal Dialysis Catheter in Children: A Randomized Clinical Trial, Medical Journal of the Islamic Republic of Iran (2014)
4. The Impact of Propolis on Catheter Exit Site Infection and Peritonitis in Peritoneal Dialysis Patients: A Clinical Trial, BMC Nephrology (2022)
5. Evaluation of Factors Related to Depression in Peritoneal Dialysis Patients: A Multicenter Cross-Sectional Study, Renal Replacement Therapy (2023)
6. Comparison of the Efficacy and Complications of End-Side Anastomosis of Brachial Artery to Cubital Perforating Vein Versus Side-Side Brachiocephalic Arteriovenous Fistula Formation in Hemodialysis Candidates, Journal of Isfahan Medical School (2020)
7. Access Recirculation in Jugular Venous Catheter in Regular and Reversed Lines., Iranian journal of kidney diseases (2008)
8. Comparison of Underlying Factors of Indwelling Venous Catheter Infection in Hemodialysis Patients Hospitalized in Medical Education Centers of Isfahan, Translational Research in Urology (2022)
Experts (# of related papers)
View all Related Experts
Abdolamir Atapour (7)
Shahrzad Shahidi (3)
Other Related Docs
9. Comparison of Vascular Access Use in Hemodialysis Patients in Isfahan in 2003 and 2013, Indian Journal of Nephrology (2015)
10. Practical Anatomical Landmark for Optimal Positioning of Left-Sided Long-Term Central Venous Catheter (A Pilot Study), Journal of Research in Medical Sciences (2020)
11. Comparison Between Two Methods of Central Venous Catheter Placement in Hemodialysis Patients, Journal of Isfahan Medical School (2012)
12. A Comparison of the Quality of Life of the Patients Undergoing Hemodialysis Versus Peritoneal Dialysis and Its Correlation to the Quality of Dialysis, Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia (2016)
13. The Epidemiological Characteristics and Outcome of Covid-19 in Patients Undergoing Peritoneal Dialysis: A Multi-Center Study in Iran, Iranian Journal of Kidney Diseases (2022)
14. Hemodialysis Versus Peritoneal Dialysis, Which Is Cost-Effective?, Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia (2015)
15. Does Tunneling the Temporary Vascular Access Extend Its Lifetime?, Journal of Research in Medical Sciences (2006)
16. Predicting Tree-Year Clinical Outcomes Using the Baseline and Trajectories of Serum Albumin in Patients on Peritoneal Dialysis, Iranian Red Crescent Medical Journal (2017)
17. The Comparison of Streptokinase, an Old Agent, Versus Reteplase for the Re-Tunnellisation of Blocked Cuffed Haemodialysis Catheter, Scripta Medica (Banja Luka) (2024)
18. The Mid-Sternal Length, a Practical Anatomical Landmark for Optimal Positioning of Long-Term Central Venous Catheters, Journal of Research in Medical Sciences (2013)
19. Four Cases of Adhered Permanent Double Lumen Hemodialysis Catheters (Permcath), Archives of Iranian Medicine (2013)
20. Efficacy and Complications of Premicath Catheter in Patients With Rejected Renal Transplant Compared to Hemodialysis Patients Without Renal Transplant, Journal of Isfahan Medical School (2018)
21. Patient Outcome in Primary Peritoneal Dialysis Patients Versus Those Transferred From Hemodialysis and Transplantation, International Urology and Nephrology (2012)
22. The Outcome of Iranian Children on Continuous Ambulatory Peritoneal Dialysis: The First Report of Iranian National Registry, Archives of Iranian Medicine (2009)