Comparison of “open surgery” and laparoscopic insertion technique
A prospective randomized clinical trial with 148 patients (72 with open surgery, 76 with laparoscopy) studied the complication rate and service life during a follow-up period of 3 years.
Early complications (all): open 33.3% < > lap. 13,2%
- Peritonitis 12.5% < > 2.6%
- Catheter malfunction 8.3% < > 7,9%
- Leakage 11.1% < > 1.3%
- Colon perforation none < > 1.3%
- Bladder perforation 1.4% < > none
Late complications (all): open 61.1% < > lap. 57.9%
- Infections 48.6% < > 48.7%
- Catheter malfunction 11.1% < > 7,9%
- Hernia 1.4% < > 1.3%
- Catheter failure 55.2% < > 32.8%
Catheter service life
- after 12 months: open 62% < > lap. 77.5%
- after 36 months: open 26% < > lap. 63%
Gadallah MF, Pervez A, el-Shahawy MA, Sorrells D, Zibari G, McDonald J, Work J. Peritoneoscopic versus surgical placement of peritoneal dialysis catheters: a prospective randomized study on outcome. Am J Kidney Dis. 1999 Jan; 33(1):118-22.