Comparison of the Laparoscopic and Open Peritoneal Dialysis Catheter Insertion in Children.
- Author:
Hyun Soo KIM
1
;
Soo Min JUNG
;
Suk Koo LEE
;
Jeong Meen SEO
Author Information
1. Division of Pediatric Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jm0815.seo@samsung.com
- Publication Type:Original Article
- Keywords:
Peritoneal dialysis catheter
- MeSH:
Abdominal Wall;
Catheter Obstruction;
Catheters;
Child;
Hemorrhage;
Humans;
Imidazoles;
Nitro Compounds;
Omentum;
Peritoneal Dialysis;
Survival Rate
- From:Journal of the Korean Association of Pediatric Surgeons
2011;17(2):125-132
- CountryRepublic of Korea
- Language:Korean
-
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.
