TAIPEI, TAIWAN (UroToday.com) - Introduction and Objectives: Peritoneal dialysis is one of the treatment options for patients with chronic kidney disease under dialysis status. Laparoendoscopic surgery (LESS) was first reported in 2008 and only limited data were reported regarding the feasibility of laparoendoscopic PD catheter insertion. The aim of this study is to report the 5-year functional results in patients with chronic kidney disease under dialysis status received laparoendoscopic peritoneal dialysis catheter insertion.
Methods: From July 2009 to April 2014, total 77 patients received laparoendoscopic single site peritoneal dialysis catheter insertion were enrolled into this study. There were 40 males and 34 females. The perioperative data were collected by retrospective chart review. The catheter survival rate and patient crude survival rate were calculated using Kaplan-Meier survival method.
Results: The 2-year and 5-year catheter survival rate was 90.3% and 75.7% respectively. The 2-year and 5-year patient crude survival rate was 90.5% and 13.1% respectively. There were 4 patients received renal transplantation. The perioperative complication rate was 11.7% while the long term complication rate was 9.09%.
Conclusions: The 2-years and 5-year catheter survival rate was 90.3% and 75,7% after laparoendoscopic single site peritoneal dialysis catheter insertion. This technique might serve as a treatment option for patients with chronic kidney disease under uremic status requiring peritoneal dialysis.
Source of Funding: None
|Listen to an interview with Thomas Hsueh, one of the authors of this study.|
Presented by Kuei-mei Li,1 Thomas Y. Hsueh,2, 4, 5 Yi-Shen Lin,3 Yi-Chun Chiu,1, 4 and Allen W. Chiu,2, 4, 5 at the 32nd World Congress of Endourology & SWL - September 3 - 7, 2014 - Taipei, Taiwan
1Division of Urology, Department of Surgery, Taipei city Hospital Zhongxiao branch, Taiwan
2Division of Urology, Department of Surgery, Taipei city Hospital Ren-Ai branch, Taiwan
3Division of Nephrology, Department of Internal Medicine, Taipei city Hospital Zhongxiao branch, Taiwan
4Department of Urology, School of Medicine, National Yang-Ming University, Taiwan
5Institute of Traditional Chinese Medicine, School of Medicine, National Yang-Ming University, Taiwan