Randomized Prospective Comparison of Laparoscopic and Open Peritoneal Dialysis Catheter Insertion
| Autor: | Leslie Sellars, David Eadington, Malcolm J. Farr, Mark J. Wright, B. Johnson, Khalid Bel'eed |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
medicine.medical_specialty
Randomization medicine.diagnostic_test business.industry medicine.medical_treatment General Medicine law.invention Endoscopy Peritoneal dialysis Surgery Catheter Randomized controlled trial Nephrology law Anesthesia medicine Laparoscopy Complication Prospective cohort study business |
| Zdroj: | Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis. 19:372-375 |
| ISSN: | 1718-4304 0896-8608 |
| DOI: | 10.1177/089686089901900415 |
| Popis: | Objective To compare laparoscopic and conventional peritoneal dialysis catheter insertion with respect to post operative discomfort, complication rates, and catheter survival. Design Randomized prospective study. Setting Tertiary referral renal unit. Patients Fifty patients commencing peritoneal dialysis. Intervention Catheters were implanted laparoscopically or by a conventional surgical technique. Main Outcome Measures The duration of surgery, hospital stay, pain scores, and analgesic requirements were recorded. Complications (early/late) and catheter survival were compared. Results The conventional procedure was faster than the laparoscopic (14.3 vs 21.9 minutes, p < 0.0001). There was no difference in any other parameter assessed. Conclusions The data suggest that the insertion techniques are equivalent, and that laparoscopic insertion does not reduce early complication rates. |
| Databáze: | OpenAIRE |
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