The comparison in terms of early complications of a new technique and percutaneous method for the placement of CAPD catheters

Renal Failure
Ali BorazanAli Cesur

Abstract

Starting continuous ambulatory peritoneal dialysis (CAPD) immediately after insertion of a peritoneal dialysis catheter is essential in end-stage renal disease (ESRD). In relation to the insertion methods, various mechanical and infectious complications may arise. In this study, we aimed to compare early complications of the laparoscopic tunneling method of CAPD placement that we developed recently in order to minimize the complications, with those of the conventional percutaneous method. Included in this study were 12 consecutive patients with ESRD to whom we introduced catheters for CAPD by way of laparoscopic tunneling between April 2003 and July 2003 and followed up for at least 6 months, and 30 patients to whom the catheters were placed percutaneously in the same time period with the same follow-up time. The complications seen during the first 6 months after catheter placement with these two different methods were compared. In all of the subjects, dialysis was started soon after catheter placement. No peroperative morbidity was seen in any of the patients. While with laparoscopic tunneling method no mechanical problem was seen, the percutaneous method resulted in early leakage in 10%, pericatheter bleeding in 3.3%, and her...Continue Reading

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Citations

Oct 3, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sven C SchmidtPeter Neuhaus
Jul 11, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Chun-Nan YehTsann-Long Hwang
Jul 20, 2012·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·David VossMark Marshall
Nov 6, 2009·Orvosi hetilap·Tamás RegocziIstván Kiss
Jul 15, 2015·The Journal of Vascular Access·Lamya BoujelbaneMicah R Chan
Sep 12, 2020·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Zhiyun ZangZi Li
Nov 17, 2020·Journal of Nephrology·Stepan M EsagianKonstantinos P Economopoulos

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