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Clinical Trial
. 1999 Jul-Aug;19(4):372-5.

Randomized prospective comparison of laparoscopic and open peritoneal dialysis catheter insertion

M J Wright  1 , K Bel'eed, B F Johnson, D W Eadington, L Sellars, M J Farr
Affiliations
  • PMID: 10507820
Clinical Trial

Randomized prospective comparison of laparoscopic and open peritoneal dialysis catheter insertion

M J Wright et al. Perit Dial Int. 1999 Jul-Aug.

Abstract

Objective: To compare laparoscopic and conventional peritoneal dialysis catheter insertion with respect to post operative discomfort, complication rates, and catheter survival.

Design: Randomized prospective study.

Setting: Tertiary referral renal unit.

Patients: Fifty patients commencing peritoneal dialysis.

Intervention: Catheters were implanted laparoscopically or by a conventional surgical technique.

Main outcome measures: 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.

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