ABSTRACT
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. Twosided 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