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The placement of peritoneal dialysis catheters: a prospective randomized comparison of open surgery versus “Mini-Perc” technique

  • Nephrology – Original Paper
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Abstract

Purpose

Currently, most ESRD patients are treated with open surgical technique or with laparoscopic technique. In this study, we examined the role of the ureteroscope-assisted “Mini-Perc” technique versus the modified open surgery in the treatment of ESRD in a prospective randomized manner.

Methods

A total of 72 patients with chronic renal failure were prospectively randomized for the ureteroscope-assisted “Mini-Perc” technique or modified open surgery. Intraoperative and postoperative morbidity, incision size, dose of local anesthesia, operative time, hospital stay, and initial catheter survival and follow-up were compared for both methods.

Results

“Mini-Perc” group was associated with shorter incision size, operative time, and hospital stay, with lower dose of local anesthesia and incidence of bloody ascites. Two of five patients with the history of abdominal surgery in “Mini-Perc” group required adhesiolysis under direct vision of telescope. All adhesions were easily dissected. All complications of leakage (8.1 %) and incisional hernia (2.7 %) occurred in the open surgery group, but a difference of no significant value with “Mini-Perc” group (p = 0.2400, p = 1.0000). There was no any other significant difference in common complications between two groups. After 2 years of follow-up, 54 patients (75 %) survived with their initial PD catheter. The overall death was 5 (6.9 %).

Conclusions

Compared to modified open surgical technique, the ureteroscope-assisted “Mini-Perc” technique can be used to achieve the same clinical efficacy for placement of peritoneal dialysis catheters in ESRD patients, and it carries minimal morbidity.

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Conflict of interest

The authors have no financial conflicts of interest to declare.

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Authors and Affiliations

  1. Department of Nephrology, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, People’s Republic of China

    Wei Zhu, Chunming Jiang & Miao Zhang

  2. Department of Urology, Affiliated Drum Tower Hospital, Medical School of Nanjing University, 321 Zhongshan Road, Nanjing, 210008, Jiangsu, People’s Republic of China

    Xi Zheng, Hongqian Guo & Xiang Yan

Authors
  1. Wei Zhu
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  2. Chunming Jiang
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  3. Xi Zheng
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  4. Miao Zhang
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  5. Hongqian Guo
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  6. Xiang Yan
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Corresponding author

Correspondence to Xiang Yan.

Additional information

Wei Zhu and Chunming Jiang contributed to the work equally and should be regarded as co-first authors.

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Zhu, W., Jiang, C., Zheng, X. et al. The placement of peritoneal dialysis catheters: a prospective randomized comparison of open surgery versus “Mini-Perc” technique. Int Urol Nephrol 47, 377–382 (2015). https://doi.org/10.1007/s11255-014-0877-9

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  • DOI: https://doi.org/10.1007/s11255-014-0877-9

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