Laparoscopic insertion of peritoneal dialysis catheter for Continuous Ambulatory Peritoneal Dialysis (CAPD)‎ : early experience at King Hussein Hospital and comparison with the literature

الملخص EN

Objectives : To analyze the results of laparoscopic peritoneal dialysis catheter insertion at King Hussein Hospital in comparison with those published in the literature.

Methods : Since 2007, 55 peritoneal dialysis catheters were placed laparoscopically in 49 patients.

Data to be analyzed including demographic data, early and late postoperative complications, procedure related mortality, follow-up time, reasons of dropout and catheter failure and 1- and 2-year catheter survival rate have been collected.

Data published in the literature were used as a control group for comparison.

Statistical analysis was done using the Graph Pad software.

Two-sided p value <0.05 as calculated by Fisher's Exact Test when relevant is considered statistically significant.

Results : Over the study period of 8-years, 49 patients were included in the study with 28 (57 %) females.

The age range was 22-65years (median 47.9 years).

The follow up period ranged from 1-42 months.

The rates of early and late catheter-related complications were comparable in both groups except for a lower rate of early exit-site/tunnel infection (0 versus 14.3 %, p value 0.0053) and higher rate of cuff-extrusion (12.7 vs 1.8, p value 0.0010) in the study group.

Our one-year catheter survival rate was comparable to the control group (77.8 % vs 89.7 %, p value 0.1180) but the two-year catheter survival rate was significantly lower (44.4 %vs 76.4 %, p value0.0049).

Conclusions: Although our early experience in laparoscopic peritoneal dialysis catheter insertion is encouraging, a room is available for improvement and development.