J Korean Assoc Pediatr Surg.  2011 Dec;17(2):125-132.

Comparison of the Laparoscopic and Open Peritoneal Dialysis Catheter Insertion in Children

• Kim HS
• Jung SM
• Lee SK
• Seo JM

Abstract

The aim of this study was to compare peritoneal dialysis catheter insertion by the open method to the laparoscopic method. Twenty four laparoscopic and 10 open peritoneal dialysis catheter placements were performed in children between 2001 and 2008. Patient characteristics, operation related data, procedural complications and clinical outcome were compared. Although there were no cases of catheter obstruction, exit site infection or bleeding in the laparoscopic group, compared to the open method, there was no statistically significant difference between the two groups. Catheter removal rate due to complication was high in the open group and catheter survival rate was high in the laparoscopic group. We concluded that laparoscopic peritoneal dialysis catheter placement is feasible in children of all age groups with at least equivalent functional results compared to the open method. An advantage of laparoscopic catheter insertion is removal of the great omentum and easy fixation of the catheter to the abdominal wall.

Keyword

Peritoneal dialysis catheter

MeSH Terms

Abdominal Wall
Catheter Obstruction
Catheters
Child
Hemorrhage
Humans
Imidazoles
Nitro Compounds
Omentum
Peritoneal Dialysis
Survival Rate
Imidazoles
Nitro Compounds